Longno, Efren B.

HRN: 17-11-51  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/02/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/02/2023
09/07/2023
ORAL
500mg
OD
Pleural Effusion
Checking Final Appropriateness 
09/02/2023
CEFTRIAXONE 1G (VIAL)
09/02/2023
09/09/2023
IV
2 Grams
OD
Pleural Effusion
Checking Final Appropriateness 
09/13/2023
LEVOFLOXACIN 500MG (TAB)
09/13/2023
09/19/2023
PO
500mg
OD
CAP-ME With Pleural Effusion
Checking Final Appropriateness 
09/13/2023
CEFIXIME 200MG (CAP)
09/13/2023
09/19/2023
PO
200mg
BID
Pneumonia With Pleural Effusion
Checking Final Appropriateness 
09/16/2023
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
09/16/2023
09/23/2023
TOPICAL
1%
BID
Skin Wound
Checking Final Appropriateness 
09/23/2023
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
09/23/2023
09/29/2023
TOPICA
1%
BID
Infected Wound
Checking Final Appropriateness 
09/25/2023
MUPIROCIN 2%, 15G (TUBE)
09/25/2023
10/02/2023
TOPICAL
2%
OD
Multiple Abrasions
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: