Genelaso, Julibeth, MRS. C.

HRN: 21-32-67  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/11/2022
AZITHROMYCIN 500MG TABLET (TAB)
05/11/2022
05/13/2022
PO
500mg
OD
CAP MR
Waiting Final Action 
05/11/2022
CEFTRIAXONE 1G (VIAL)
05/11/2022
05/17/2022
IV
2g
OD
CAP MR
Waiting Final Action 
05/14/2022
METRONIDAZOLE 500MG (TAB)
05/14/2022
05/28/2022
PO
500mg
BID
H.Pylori Infection
Waiting Final Action 
05/14/2022
CLARITHROMYCIN 500MG (CAP)
05/14/2022
05/28/2022
PO
500mg
BID
CAP-MR
Waiting Final Action 
05/16/2022
CLARITHROMYCIN 500MG (CAP)
05/16/2022
05/28/2022
PO
500 Mg
BID
H. Pylori Infection
Waiting Final Action 
05/16/2022
METRONIDAZOLE 500MG (TAB)
05/16/2022
05/28/2022
PO
500 Mg
BID
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: