Baguia, Maria .

HRN: 24-66-64  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/08/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
03/08/2024
03/15/2024
IV
1.5gram
Q 8hrs
AGE; CAP-MR
Checking Final Appropriateness 
03/08/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/08/2024
03/15/2024
IV
500mg
Q 8hrs
AGE; CAP-MR
Checking Final Appropriateness 
03/13/2024
AZITHROMYCIN 500MG TABLET (TAB)
03/13/2024
03/15/2024
ORAL
500mg
Once A Day
Pneumonia
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: