Madira, Bebith L.

HRN: 26 63 31  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/02/2025
AZITHROMYCIN 500MG TABLET (TAB)
02/02/2025
02/06/2025
PO
500mg
OD
PTB Presumptive, CAP-MR
Waiting Final Action 
02/02/2025
CEFTRIAXONE 1G (VIAL)
02/02/2025
02/09/2025
IVT
2g
OD
PTB Presumptive, CAP-MR
Waiting Final Action 
02/06/2025
CEFIXIME 200MG (CAP)
02/06/2025
02/12/2025
PO
200mg
Q12
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: