Abao, Matea R.

HRN: 01-30-68  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/03/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/03/2025
01/09/2025
IV
2.25gm
Q6
Infected Wound Right Foot
Waiting Final Action 
01/06/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/06/2025
01/12/2025
IV
600mg
Q6
Infected Wound
Waiting Final Action 
01/09/2025
AZITHROMYCIN 500MG TABLET (TAB)
01/09/2025
01/14/2025
PO
500mg
OD
CAP MR
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: