Manzano, Saldo L.

HRN: 19-45-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/16/2026
AZITHROMYCIN 500MG TABLET (TAB)
01/16/2026
01/20/2026
PO
500 Mg
OD
CAP-MR
Waiting Final Action 
01/16/2026
CEFTAZIDIME 1GM (VIAL)
01/16/2026
01/22/2026
IV
1g
Q8h
CAP-MR
Waiting Final Action 
01/21/2026
CEFUROXIME 500MG (TAB)
01/21/2026
01/27/2026
PO
500mg
Q8
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: