Bacalso, Bonifacio R.

HRN: 28-29-31  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/17/2025
AZITHROMYCIN 500MG TABLET (TAB)
12/17/2025
12/21/2025
PO
500mg
OD
CAP MR
Checking Final Appropriateness 
12/17/2025
CEFTRIAXONE 1G (VIAL)
12/17/2025
12/24/2025
IV
2g
OD
CAPMR; UTI
Checking Final Appropriateness 
12/23/2025
AMOXICILLIN 500MG CAPSULE (CAP)
12/23/2025
12/30/2025
PO
500mg/tab, 2 Tabs
BID
Helicobacter Pylori Infection
Checking Initial Appropriateness 
12/23/2025
METRONIDAZOLE 500MG (TAB)
12/23/2025
12/30/2025
PO
500mg/tab
BID
Helicobacter 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: