Dela Cruz, Scarllet R.

HRN: 19-76-04  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/20/2025
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
04/20/2025
04/26/2025
ORAL
200 Mg
OD
ARTI
Rejected 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: