Tangon, Florentina .

HRN: 20-70-98  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/11/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/11/2025
07/17/2025
IV
500 Mg
Q8
Intra-abdominal Infection
Remove - Pending Acceptance
07/15/2025
RIFAXIMIN 200MG (TAB)
07/15/2025
07/22/2025
PO
2 Tabs
TID
Liver Cirrhosis
Remove - Pending Acceptance
07/19/2025
AZITHROMYCIN 500MG TABLET (TAB)
07/19/2025
07/23/2025
PO
500mg
OD
CAP-MR
Waiting Final Action 
07/30/2025
MUPIROCIN 2%, 15G (TUBE)
07/30/2025
08/05/2025
TOPICAL
1g
Twice A Day
Sacral Ulcer
Remove - Pending Acceptance
07/31/2025
CEFTRIAXONE 1G (VIAL)
07/31/2025
08/07/2025
IV
2g
OD
CAP VS HAP
Remove - Pending Acceptance
08/05/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/04/2025
08/11/2025
IV
4.5gm
Q6
Empiric
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: