Felecilda, Marites .

HRN: 27-09-74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/17/2025
AMOXICILLIN 500MG CAPSULE (CAP)
09/17/2025
09/23/2025
PO
1g
Bid
H Pylori Infection
Checking Initial Appropriateness 
09/17/2025
CLARITHROMYCIN 500MG (CAP)
09/17/2025
09/23/2025
PO
500 Mg
Bid
H Pylori Infection
Checking Initial Appropriateness 
09/17/2025
METRONIDAZOLE 500MG (TAB)
09/17/2025
09/23/2025
PO
500mg
Bid
H Pylori Infection
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: