Buay, Rockjun G.

HRN: 18-74-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/04/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/04/2026
03/10/2026
IV
500mg
TID
Intraabdominal Infection
Checking Initial Appropriateness 
03/04/2026
CEFUROXIME 1.5GM (VIAL)
03/04/2026
03/10/2026
IV
1.5g
TID
Intraabdominal Infection
Checking Initial Appropriateness 
03/07/2026
METRONIDAZOLE 500MG (TAB)
03/07/2026
03/13/2026
ORAL
500mg
TID
H.pylori Infection
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: