Genraule, Ariel S.

HRN: 28-86-06  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/11/2026
CEFTRIAXONE 1G (VIAL)
04/11/2026
04/18/2026
IV
2g
OD
CAP-MR
Checking Initial Appropriateness 
04/11/2026
AZITHROMYCIN 500MG IV
04/11/2026
04/16/2026
IV
500mg
OD
CAP-MR
Checking Initial Appropriateness 
04/27/2026
CO-AMOXICLAV 625MG (TAB)
04/27/2026
05/04/2026
TAB
625mg
TID
Cap Mr
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: