Ariza, Celedenio P.

HRN: 24-46-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/23/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/23/2024
04/30/2024
IV
1.5g
Q6hours
CAP-MR; Infected Wound
Waiting Final Action 
04/23/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/23/2024
04/30/2024
IV
600mg
Q8hrs
Infected Wound
Waiting Final Action 
04/25/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/25/2024
05/02/2024
IVTT
4.5g
Q6
CAP
Waiting Final Action 
04/25/2024
AZITHROMYCIN 500MG TABLET (TAB)
04/25/2024
04/30/2024
PO
500mg
OD
CAP
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: