Masayon, Jesus T.

HRN: 07-16-85  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/26/2025
CEFTAZIDIME 1GM (VIAL)
10/26/2025
11/02/2025
IV
2g
Q8h
Cap-MR
Checking Final Appropriateness 
10/26/2025
AZITHROMYCIN 500MG TABLET (TAB)
10/26/2025
10/31/2025
PO
500mg
Od
CAP-MR
Checking Final Appropriateness 
10/31/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/31/2025
11/08/2025
IVT
4.5g
Q8
T/C Intraabdominal Infection
Checking Final 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: