Plao, Chares L.

HRN: 28-39-54  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/10/2026
CLARITHROMYCIN 500MG (CAP)
01/10/2026
01/17/2026
ORAL
500mg
Q12
Helicobacter Pylori Infection
Checking Initial Appropriateness 
01/10/2026
METRONIDAZOLE 500MG (TAB)
01/10/2026
01/17/2026
ORAL
500mg
Every 8hours
Helicobacter Pylori Infection
Checking Initial Appropriateness 
01/10/2026
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
01/10/2026
01/17/2026
ORAL
10ml
Q12
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: