Mengid, Agapito L.

HRN: 28-69-08  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/23/2026
CEFTRIAXONE 1G (VIAL)
03/23/2026
03/30/2026
IV
2G
OD
UTI
Checking Initial Appropriateness 
03/24/2026
AMOXICILLIN 500MG CAPSULE (CAP)
03/24/2026
03/31/2026
PO
500mg
BID
H. Pylori
Checking Initial Appropriateness 
03/24/2026
CLARITHROMYCIN 500MG (CAP)
03/24/2026
03/31/2026
PO
500mg
Q12H
H. Pylori
Checking Initial Appropriateness 
03/24/2026
AMOXICILLIN 500MG CAPSULE (CAP)
03/24/2026
03/31/2026
PO
500mg
2 Tabs Q12H
H. Pylori
Checking Initial Appropriateness 
03/30/2026
RIFAXIMIN 200MG (TAB)
03/30/2026
04/06/2026
PO
200
TID
Bacterial Perotonitis
Checking Initial Appropriateness 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: