Suganob, Marites Q.

HRN: 28-32-02  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/21/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
12/21/2025
12/28/2025
IV
1.5g
Q8
Cellulitis
Checking Initial Appropriateness 
12/27/2025
CLINDAMYCIN 150MG/ML, 4ML (AMP)
12/27/2025
01/03/2026
IVT
600mg
Q8
Cellulitis Right Foot
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: