Datulaita, Amor .

HRN: 02-88-44  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/29/2025
CEFTRIAXONE 1G (VIAL)
09/29/2025
10/05/2025
IV
2g
Od
Cap Mr
Checking Final Appropriateness 
09/30/2025
AZITHROMYCIN 500MG TABLET (TAB)
09/30/2025
10/05/2025
PO
500
OD
CAP HR
Waiting Final Action 
10/05/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/05/2025
10/11/2025
IVTT
4.5g
Q6
Cap-MR
10/05/2025
DOXYCYCLINE 100MG (CAP)
10/05/2025
10/11/2025
PO
500 Mg/tab, 1 Tab
Bid
Cap MR; Multidrop Resistant Staphylococcus
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: