Evedientes, Jun Rey .

HRN: 16-56-99  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/03/2025
CEFUROXIME 1.5GM (VIAL)
10/03/2025
10/10/2025
IV
1.5 Gram & 750 Mg
Q8h
UTI
Rejected 
10/03/2025
CEFUROXIME 750MG (VIAL)
10/03/2025
10/10/2025
IV
750 Mg
Q8h
UTI
Rejected 
10/03/2025
CEFUROXIME 750MG (VIAL)
10/03/2025
10/10/2025
IV
750
Q8h
UTI
Rejected 
10/04/2025
CEFUROXIME 1.5GM (VIAL)
10/04/2025
10/10/2025
IV
1.5 G
IV
UTI
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: