Sayon, Aldren .

HRN: 23-72-61  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/23/2023
CIPROFLOXACIN 500MG (TAB)
09/23/2023
09/30/2023
ORAL
500mg
BID
Typhoid
Waiting Final Action 
09/24/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
09/24/2023
09/30/2023
IVT
3g
Q6
Sepsis, Penumonia
Waiting Final Action 
09/24/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
09/24/2023
09/30/2023
IVT
265mg
Q24
Pneumonia, Sepsis
Waiting Final Action 
09/24/2023
CEFTRIAXONE 1G (VIAL)
09/24/2023
09/30/2023
IV
2.5g
Q12h
T/c Bacterial Meningitis
09/25/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/25/2023
10/02/2023
IV
530mg
TID
Cerebellar Abscess, Left
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: