Custodio, Ivan V.

HRN: 27-93-04  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/08/2025
CEFTRIAXONE 1G (VIAL)
10/08/2025
10/15/2025
IV DRIP
2g
Q12 Hours
Pleural Effusion, Right, Prob Sec To PTB Infection
Waiting Final Action 
10/08/2025
AZITHROMYCIN 500MG TABLET (TAB)
10/08/2025
10/15/2025
PO
1 Tablet
OD
Pleural Effusion, Right, Prob Sec To PTB Infection
Waiting Final Action 
10/14/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
10/14/2025
10/21/2025
IV
2.25g
Every 6hours
Pneumonia
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: