Gasang, Rosemila D.

HRN: 22-57-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/05/2025
CEFTRIAXONE 1G (VIAL)
03/05/2025
03/11/2025
IV
2g
OD
CAP MR, Typhoid Fever
Waiting Final Action 
03/05/2025
AZITHROMYCIN 500MG TABLET (TAB)
03/05/2025
03/09/2025
ORAL
500mg
OD
CAP Mr
Waiting Final Action 
03/11/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
03/11/2025
03/18/2025
IV
1.5g
Q6h
Typhoid Fever
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: