Ado, Lino S.

HRN: 24-87-82  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/16/2024
CEFTRIAXONE 1G (VIAL)
04/16/2024
04/23/2024
IV
2g
Q24h
Presumptive Ptb; Cap-mr
Waiting Final Action 
04/16/2024
AZITHROMYCIN 500MG TABLET (TAB)
04/16/2024
04/21/2024
PO
500mg
Q24h
CAP-MR; Presumptive PTB
Waiting Final Action 
04/16/2024
AZITHROMYCIN 500MG TABLET (TAB)
04/16/2024
04/21/2024
PO
500mg
Q24h
CAP-MR; Presumptive PTB
Waiting Final Action 
04/16/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/16/2024
04/23/2024
IV
4.5g
Q6
Sepsis
Waiting Final Action 
04/19/2024
CO-AMOXICLAV 625MG (TAB)
04/19/2024
04/26/2024
PO
1 Tab
TID
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: