Bontes, Natalia S.

HRN: 23-54-47  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/18/2023
CEFTRIAXONE 1G (VIAL)
08/18/2023
08/24/2023
IV
2grams
OD
CAP-MR
Checking Final Appropriateness 
08/19/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/19/2023
08/25/2023
IV
500MG
Q8
Amoebiasis
Checking Final Appropriateness 
08/19/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/19/2023
08/23/2023
PO
500MG
OD
CAP MR
Checking Final Appropriateness 
08/22/2023
METRONIDAZOLE 500MG (TAB)
08/22/2023
08/29/2023
PO
500mg
TID
Amoebiasis
Checking Final Appropriateness 
08/24/2023
CEFIXIME 200MG (CAP)
08/24/2023
08/31/2023
PO
1 Cap
BID
CAP-MR
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: