Malanao, Elenita B.

HRN: 21-87-38  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/02/2022
AZITHROMYCIN 500MG TABLET (TAB)
09/02/2022
09/06/2022
PO
500mg
OD
CAP MR
Waiting Final Action 
09/02/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
09/02/2022
09/09/2022
IV
4.5g
Q8
Septic Shock Sec To CAP MR
Waiting Final Action 
09/06/2022
LEVOFLOXACIN 500MG (TAB)
09/06/2022
09/10/2022
ORAL
500mg
OD
CAP MR; PTB; UTI
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: