Pegalan, Fred Vincent F.

HRN: 01-55-50  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2023
CEFUROXIME 1.5GM (VIAL)
05/27/2023
06/03/2023
IV
1.5g
Q8H
ASA, GSW
Checking Final Appropriateness 
05/27/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/27/2023
06/03/2023
IV
500mg
Q8H
ASA, GSW
Checking Final Appropriateness 
06/05/2023
CEFIXIME 200MG (CAP)
06/05/2023
06/12/2023
PO
200mg
Bid
S/P Exlap, Resection And Anastomosis, Lavage, Jp Drain Application
Waiting Final Action 
06/05/2023
CO-AMOXICLAV 625MG (TAB)
06/05/2023
06/12/2023
PO
625mg
Bid
S/P Exlap, Resection And Anastomosis, Lavage, Jp Drain Application
Waiting Final Action 
06/05/2023
METRONIDAZOLE 500MG (TAB)
06/05/2023
06/12/2023
PO
500mg
Tid
S/P Exlap, Resection And Anastomosis, Lavage, Jp Drain Application
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: