Bazan, Adrian .

HRN: 27-74-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/02/2025
BENZATHINE BENZYLPENICILLIN 1.2M UNITS VIAL
09/02/2025
09/16/2025
IM
2.4m U
Once A Week For 3 Weeks
Syphillis
Checking Initial Appropriateness 
09/02/2025
AZITHROMYCIN 500MG TABLET (TAB)
09/02/2025
09/09/2025
PO
500mg
OD
Immunocompromised State
Rejected 
09/02/2025
CIPROFLOXACIN 500MG (TAB)
09/02/2025
09/09/2025
PO
500mg
BID
Immunocompromised State
Checking Initial Appropriateness 
09/02/2025
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
09/02/2025
09/16/2025
PO
1-2ml
QID 3x/week
Immunocompromised State
Checking Initial Appropriateness 
09/12/2025
CEFTRIAXONE 1G (VIAL)
09/12/2025
09/19/2025
IV
1.5g
Q12hours
Sepsis Sec To Immunocompromised State
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: