Coritico, Alberto O.

HRN: 03-21-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/19/2026
CLARITHROMYCIN 500MG (CAP)
05/19/2026
06/02/2026
PO
500mg
BID
H.PYLORI INFECTION
Checking Initial Appropriateness 
05/19/2026
AMOXICILLIN 500MG CAPSULE (CAP)
05/19/2026
06/02/2026
PO
1g
BID
H.PYLORI INFECTION
Checking Initial Appropriateness 
05/22/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/22/2026
05/28/2026
IV
4.5
Q6H
CAP HR
Checking Initial Appropriateness 
05/24/2026
CIPROFLOXACIN 500MG (TAB)
05/24/2026
05/30/2026
ORAL
500mg
BID
UTI
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: