Villanueva, Necasio B.

HRN: 03-07-36  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/14/2025
CEFTRIAXONE 1G (VIAL)
05/14/2025
05/20/2025
IV
2g
OD
Cap-mr; T/c PTB RELAPSE
Waiting Final Action 
05/14/2025
AZITHROMYCIN 500MG TABLET (TAB)
05/14/2025
05/18/2025
PO
500mg
1tab OD
CAP-Mr; T/c PTB Relapse
Waiting Final Action 
05/17/2025
AMOXICILLIN 500MG CAPSULE (CAP)
05/17/2025
05/30/2025
PO
1g
BID
H Pylori Infection
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: