Intong, Jose .

HRN: 28-88-73  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/20/2026
CEFTAZIDIME 1GM (VIAL)
04/20/2026
04/27/2026
IV
2g
Q8
Cap MR
Checking Initial Appropriateness 
04/20/2026
AZITHROMYCIN 500MG TABLET (TAB)
04/20/2026
04/23/2026
ORAL
500
OD
Cap Mr
Checking Initial Appropriateness 
05/02/2026
CEFTRIAXONE 1G (VIAL)
05/02/2026
05/08/2026
IVTT
2g
OD
Cap-MR; Uti
Checking Initial Appropriateness 
05/02/2026
CEFTRIAXONE 1G (VIAL)
05/02/2026
05/09/2026
IV
2g
IV
CAP-MR; UTI
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: