Sereno, Alfredo D.

HRN: 08-42-26  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/08/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/08/2024
06/08/2024
IVTT
1.5 G
Q6
Gangrene Left Foot
Waiting Final Action 
06/08/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/08/2024
06/14/2024
IVTT
600mg
Q6
Gangrene Left Foot
Waiting Final Action 
06/10/2024
AZITHROMYCIN 500MG TABLET (TAB)
06/10/2024
06/15/2024
PO
500mg
OD
CAP MR
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: