Bihag, Floramie B.

HRN: 17-03-35  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/07/2025
CEFTRIAXONE 1G (VIAL)
04/07/2025
04/14/2025
IV
2g
OD
UTI, T/c Acute Appendicitis
Waiting Final Action 
04/10/2025
COTRIMOXAZOLE 960MG (TAB)
04/10/2025
04/17/2025
PO
960mg
BID
Acute Uncomplicated Pyelonephritis
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: