Delos Reyes, Seneta M.

HRN: 28-29-74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/28/2025
CLARITHROMYCIN 500MG (CAP)
12/28/2025
01/10/2026
PO
500mg
BID
H Pylori Infection PUD
Checking Initial Appropriateness 
12/28/2025
AMOXICILLIN 500MG CAPSULE (CAP)
12/28/2025
01/10/2026
PO
1g
Bid
H Pylori Infection PUD
Checking Initial Appropriateness 
12/30/2025
METRONIDAZOLE 500MG (TAB)
12/30/2025
01/13/2026
PO
500mg
TID
H Pylori Infection
Checking Final Appropriateness 
12/30/2025
AMOXICILLIN 500MG CAPSULE (CAP)
12/30/2025
01/13/2026
PO
500mg
BID
H Pylori Infection
Checking Final 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: