Tamo-o, Domenic H.

HRN: 22-05-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/08/2022
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
10/08/2022
10/15/2022
PO
8ml
Q12hours
H. Pylori Infection
Waiting Final Action 
10/08/2022
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
10/08/2022
10/15/2022
PO
8ml
Q8hours
H. Pylori Infection
Waiting Final Action 
10/08/2022
AMOXICILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
10/08/2022
10/15/2022
PO
4ml
Q8hours
H. Pylori Infection
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: