Bandahala, Baser M.

HRN: 19-57-57  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/02/2023
CIPROFLOXACIN 500MG (TAB)
11/02/2023
11/09/2023
PO
500mg
BID
Infectious Diarrhe
Waiting Final Action 
11/05/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/05/2023
11/09/2023
PO
500mg
OD
AGE W Moderate Dehydration; T/c Immunocompromised State
Waiting Final Action 
11/05/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/05/2023
11/11/2023
IV
500mg
Q8
AGE
Waiting Final Action 
11/05/2023
RIFAXIMIN 200MG (TAB)
11/05/2023
11/08/2023
PO
200mg
BID
AGE
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: