Dela Cruz, Analiza B.

HRN: 23-94-74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/14/2025
CEFUROXIME 500MG (TAB)
09/14/2025
09/21/2025
PO
1 Tab
Q12h
Asymptomatic Bacteriuria
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: