Gantuan, Tiborcio .

HRN: 00-08-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/20/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/20/2024
05/27/2024
IV
1.5g
Q6hr
Cellulitis
Waiting Final Action 
05/20/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/20/2024
06/03/2024
IV
600mg
Q6hr
Cellulitis
Waiting Final Action 
05/23/2024
AZITHROMYCIN 500MG TABLET (TAB)
05/23/2024
05/30/2024
PO
500mg
OD
Infected Wound
Waiting Final Action 
05/23/2024
AZITHROMYCIN 500MG TABLET (TAB)
05/23/2024
05/27/2024
PO
500
Od
Infected Wound
Waiting Final Action 
05/24/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/24/2024
05/31/2024
IV
4.5
Q6H
CELLULITIS
Waiting Final Action 
05/29/2024
CIPROFLOXACIN 500MG (TAB)
05/29/2024
06/05/2024
PO
1 Tab
BID
Cellulitis
Waiting Final Action 
06/09/2024
CEFTAZIDIME 1GM (VIAL)
06/09/2024
06/16/2024
IV
2 Grams
Every 8 Hours
Cellulitis Right Lower Extremity
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: