Raagas, John .

HRN: 27-62-49  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/12/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/12/2025
08/19/2025
IV
4.5g
Q8h
Pneumonia
Checking Initial Appropriateness 
08/12/2025
AZITHROMYCIN 500MG TABLET (TAB)
08/12/2025
08/17/2025
PO
500mg/tab
OD
Pneumonia
Checking Initial Appropriateness 
08/20/2025
COTRIMOXAZOLE 960MG (TAB)
08/20/2025
08/30/2025
PO
960
Q8
Pneumonia, Bacteremia
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: