Resujento, Emiliano C.

HRN: 29-06-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/28/2026
CEFTRIAXONE 1G (VIAL)
05/28/2026
06/03/2026
IV
2g
OD
UTI
Checking Initial Appropriateness 
06/03/2026
CEFIXIME 200MG (CAP)
06/03/2026
06/10/2026
ORAL
200
BID
UTI
Checking Final 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: