Mayon, Ahmeed Zayn T.

HRN: 27-73-51  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/01/2025
CEFUROXIME 750MG (VIAL)
09/01/2025
09/08/2025
IV
210mg
Q8hours
PCAP-B
Checking Initial Appropriateness 
09/01/2025
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
09/01/2025
09/08/2025
PO
2.6ml
TID
Infectious Diarrhea
Checking Initial Appropriateness 
09/05/2025
CEFTRIAXONE 1G (VIAL)
09/05/2025
09/12/2025
IV
670mg
OD
PCAP
Checking Initial Appropriateness 
09/05/2025
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
09/05/2025
09/12/2025
PO
2.6mL
TID
Infectious Diarrhea
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: