Maribao, Domingo L.

HRN: 01-99-31  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/05/2022
CEFTRIAXONE 1G (VIAL)
08/05/2022
08/11/2022
IV
2g
OD
CAP MR; T/c PTB Relapse
Waiting Final Action 
08/05/2022
AZITHROMYCIN 500MG TABLET (TAB)
08/05/2022
08/09/2022
ORAL
500mg
OD
CAP MR; T/c PTB Relapse
Waiting Final Action 
08/24/2022
MUPIROCIN 2%, 15G (TUBE)
08/24/2022
08/30/2022
TOPICAL
2% Ointment
TID
Decubitus Ulcer
Waiting Final Action 
09/02/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
09/02/2022
09/08/2022
IVT
4.5 G
Q6
Community Acquired Pneumonia, Empyema Thoracis
Waiting Final Action 
09/05/2022
MUPIROCIN 2%, 15G (TUBE)
09/05/2022
09/11/2022
TOPICAL
2% Ointment
BID
Decubitus Ulcer
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: