Booc, Gavino .

HRN: 27-29-62  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/11/2025
CEFAZOLIN 1GM (VIAL)
06/11/2025
06/18/2025
IV
1g
Q8H
Amoebic Dysentery
Waiting Final Action 
06/11/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/11/2025
06/18/2025
IV
500mg
Q8h
Amoebic Dysentery
Waiting Final Action 
06/14/2025
CEFUROXIME 500MG (TAB)
06/14/2025
06/21/2025
PO
500 Mg/tab
BID
CAP-MR
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: