Bentic, Fausto S.

HRN: 08-37-72  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/16/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/16/2025
04/23/2025
IV
500mg
Q8
Intra Abdominal Infection
Waiting Final Action 
04/16/2025
CEFTRIAXONE 1G (VIAL)
04/16/2025
04/23/2025
IV
2g
OD
Intra Abdominal Infection
Waiting Final Action 
04/18/2025
RIFAXIMIN 200MG (TAB)
04/18/2025
04/25/2025
PO
400mg
2 Tabs BID
Hepatic Enceph
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: