Insani, Ludy -.

HRN: 05-91-06  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/13/2026
CIPROFLOXACIN 500MG (TAB)
07/13/2026
07/19/2026
PO
500mgtab
BID
Age With Mod Dhn
Checking Final Appropriateness 
07/14/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/14/2026
07/20/2026
IV
500MG
Q8h
Infectious Diarrhea
Checking Final Appropriateness 
07/16/2026
METRONIDAZOLE 500MG (TAB)
07/16/2026
07/22/2026
PO
500MG
TID
Infectious Diarrhea
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: