Gregorio, Avrielle Heaven B.

HRN: 27-91-89  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/25/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
01/25/2026
02/01/2026
IV
200mg
Q 6 Hours
PCAP-C
Checking Initial Appropriateness 
01/27/2026
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
01/27/2026
02/03/2026
TOPICAL
On Affected Site
Tid
SSTI
Checking Initial Appropriateness 
01/29/2026
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
01/29/2026
02/05/2026
ORAL
1ml
OD
T/C Whooping Cough
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: