Suan, Leonardo B.

HRN: 01-43-71  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/09/2026
CEFTRIAXONE 1G (VIAL)
04/09/2026
04/16/2026
IV
2G
Q24H
CAP-MR
Checking Initial Appropriateness 
04/09/2026
AZITHROMYCIN 500MG TABLET (TAB)
04/09/2026
04/14/2026
PO
500mg
OD
CAP-MR
Checking Initial Appropriateness 
04/11/2026
CEFIXIME 200MG (CAP)
04/11/2026
04/18/2026
PO
200mg
Bid
Capmr
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: