Indab, Rogelio .

HRN: 25-05-55  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/14/2025
CEFTRIAXONE 1G (VIAL)
02/14/2025
02/20/2025
IV
2gm
Q24
Uti
Waiting Final Action 
02/16/2025
CEFIXIME 200MG (CAP)
02/15/2025
02/21/2025
PO
200 Mg
Bid
Uti
Waiting Final Action 
02/19/2025
CIPROFLOXACIN 500MG (TAB)
02/20/2025
02/22/2025
ORAL
500mg
Every Other Day X2 More Doses
UTI
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: