Serino, Sofronio .

HRN: 26-68-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/25/2025
CEFTRIAXONE 1G (VIAL)
08/25/2025
09/01/2025
IVTT
2g
OD
CAP
Checking Initial Appropriateness 
08/25/2025
AZITHROMYCIN 500MG TABLET (TAB)
08/25/2025
08/30/2025
PO
500mg
OD
CAP
Checking Initial Appropriateness 
08/27/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/27/2025
09/03/2025
IVTT
4.5g
Q8H
Pneumonia
Checking Initial Appropriateness 
08/27/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/27/2025
09/03/2025
IV
4.5g
Q8H
CAP-MR
Rejected 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: