Vicente, Paul .

HRN: 25-00-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/27/2024
CEFTRIAXONE 1G (VIAL)
04/27/2024
05/04/2024
IV
2g
OD
CAP-MR
Waiting Final Action 
04/27/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/27/2024
05/04/2024
IV
500mg
BID
H. Pylori Infection
Waiting Final Action 
04/30/2024
COTRIMOXAZOLE 960MG (TAB)
04/30/2024
05/31/2024
PO
960mg
OD
Immunocompromised State
Waiting Final Action 
04/30/2024
AZITHROMYCIN 500MG TABLET (TAB)
04/30/2024
05/31/2024
PO
500mg
3x/week
Immunocompromised State
Waiting Final Action 

AMS Audit Form


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Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: