Aljas, Lykamie .

HRN: 27-46-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/24/2025
CEFTRIAXONE 1G (VIAL)
08/24/2025
08/31/2025
IV
1.5mg
OD
Sepsis
Checking Initial Appropriateness 
08/24/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
08/24/2025
08/31/2025
IV
76mg
Q8
Sepsis
Checking Initial Appropriateness 
08/26/2025
AZITHROMYCIN 500MG TABLET (TAB)
08/26/2025
09/02/2025
PO
500mg
OD
Typhoid Fever
Rejected 
08/26/2025
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
08/26/2025
08/31/2025
PO
4ml
Qid
Oral Sores
Checking Initial Appropriateness 
08/30/2025
CIPROFLOXACIN 500MG (TAB)
08/30/2025
09/09/2025
PO
500mg/tab
BID
Typhoid Fever
Checking Initial Appropriateness 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: