Salipada, Alibasa B.

HRN: 26-93-03  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/08/2025
CEFUROXIME 1.5GM (VIAL)
04/08/2025
04/14/2025
IV
1.5gm
Q8
CAP MR
Waiting Final Action 
04/08/2025
AZITHROMYCIN 500MG TABLET (TAB)
04/08/2025
04/12/2025
PO
500mgtab
Q24
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: