Sumasao, Berto H.

HRN: 26-51-86  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/01/2025
CIPROFLOXACIN 500MG (TAB)
04/01/2025
04/03/2025
ORAL
500mg
BID
AGE With Moderate Dehydration
Waiting Final Action 
04/04/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/04/2025
04/10/2025
IV
1.5gm
Q8
Intraabdominal Infection
Waiting Final Action 
04/04/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/04/2025
04/10/2025
IV
500mg
Q8
Intraabdominal Infection
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: