Sinampaga, Josefina H.

HRN: 16-30-40  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/05/2024
CEFTRIAXONE 1G (VIAL)
05/05/2024
05/12/2024
IV
2 Grams
Once Daily
CAP MR
Waiting Final Action 
05/05/2024
AZITHROMYCIN 500MG TABLET (TAB)
05/05/2024
05/10/2024
PER OREM
500mg
Once Daily
CAP MR
Waiting Final Action 
05/05/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/05/2024
05/12/2024
IV
4.5 Grams
Every 6 Hours
CAP MR
Waiting Final Action 
05/10/2024
FLUCONAZOLE 150MG (CAP)
05/10/2024
05/12/2024
PO
150mg
OD
PTB; T/C Fungal Infection
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: