Unabia, Lucio, NONE. P.

HRN: 21-40-94  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2022
CEFTRIAXONE 1G (VIAL)
05/27/2022
06/02/2022
IVTT
2g
Q24
Pulmonary Infection
Waiting Final Action 
05/27/2022
AZITHROMYCIN 500MG TABLET (TAB)
05/27/2022
06/02/2022
ORAL
500mg
OD
Pulmonary Infection
Waiting Final Action 
05/27/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/27/2022
06/02/2022
IV
500 Mg
Q8hrs
Amoebasis
Waiting Final Action 
05/31/2022
AZITHROMYCIN 500MG TABLET (TAB)
05/31/2022
06/06/2022
ORAL
500 Mg
Q24H
Pulmonary 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: