Villarosa, Julieto H.

HRN: 26-64-26  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/23/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/23/2026
03/30/2026
IV
4.5g
Q8
CAP HR
Remove - Pending Acceptance
03/23/2026
AZITHROMYCIN 500MG TABLET (TAB)
03/23/2026
03/26/2026
PO
500mg
OD
CAP MR
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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