Denoy, Reynaldo T.

HRN: 27-05-62  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/01/2025
CEFTAZIDIME 1GM (VIAL)
05/01/2025
05/08/2025
IV
1g
Q8hrs
CAP-MR
Waiting Final Action 
05/01/2025
AZITHROMYCIN 500MG TABLET (TAB)
05/01/2025
05/05/2025
PO
500 Mg/tab
OD
CAP-MR
Waiting Final Action 
05/08/2025
LEVOFLOXACIN 500MG (TAB)
05/08/2025
05/15/2025
PO
500 Mg
OD
CAP MR
Waiting Final Action 
05/10/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/10/2025
05/17/2025
IV
4.5 Gram
Q6h
HAP
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: