Insic, Maximo B.

HRN: 07-81-91  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/01/2025
CIPROFLOXACIN 500MG (TAB)
02/01/2025
02/07/2025
ORA
500mg
BID
TB Vs Peritoneal Carcinomatosis; Liver Cirrhosis; Cholecystolithiasis
Waiting Final Action 
02/01/2025
AZITHROMYCIN 500MG TABLET (TAB)
02/01/2025
02/05/2025
ORAL
500mg
OD
TB Vs Peritoneal Carcinomatosis; Liver Cirrhosis; Cholecystolithiasis
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: