Guinta-ason, Glen .

HRN: 27-20-30  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/15/2026
CEFUROXIME 750MG (VIAL)
02/15/2026
02/21/2026
IV
750mg
Q8
UTI
Checking Initial Appropriateness 
02/17/2026
CEFTRIAXONE 1G (VIAL)
02/17/2026
02/23/2026
IV
1.5gm
Q12
UTI
Checking Initial Appropriateness 
02/17/2026
METRONIDAZOLE 500MG (TAB)
02/17/2026
02/23/2026
PO
500mg/tab
TID
Amoebiasis
Checking Initial Appropriateness 
02/20/2026
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
02/20/2026
02/27/2026
PO
10 Ml
Q 24
URTI
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: