Arriola, Luis .

HRN: 03-32-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/06/2026
CEFTAZIDIME 1GM (VIAL)
04/06/2026
04/12/2026
IV
2gms
Q8h
CAP
Checking Initial Appropriateness 
04/06/2026
AZITHROMYCIN 500MG TABLET (TAB)
04/06/2026
04/10/2026
ORAL
500mg
OD
CAP
Checking Initial Appropriateness 
04/10/2026
AZITHROMYCIN 500MG TABLET (TAB)
04/10/2026
04/11/2026
ORAL
500mg
OD
PTB
Checking Initial Appropriateness 
04/10/2026
CEFIXIME 200MG (CAP)
04/10/2026
04/16/2026
ORAL
400mg
BID
PTB
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: