Serencio, Cesar J.

HRN: 13-20-63  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/08/2024
CEFTAZIDIME 1GM (VIAL)
01/08/2024
01/15/2024
IV
1g
Q8
CAP MR T/C PTB Relapse
Checking Final Appropriateness 
01/12/2024
AZITHROMYCIN 500MG TABLET (TAB)
01/12/2024
01/14/2024
PO
500mg
OD
CAP-MR
Checking Final Appropriateness 
01/19/2024
LEVOFLOXACIN 500MG (TAB)
01/19/2024
01/25/2024
ORAL
500mg
Od
Cap-mr
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: