Malig-on, Florian B.

HRN: 28-41-80  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/05/2026
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
06/05/2026
06/11/2026
IV
750 MG
OD
PNEUMONIA
Checking Final Appropriateness 
06/10/2026
CEFTAZIDIME 1GM (VIAL)
06/10/2026
06/10/2026
IV
2g
Now
Cap Mr
Remove - Pending Acceptance
06/10/2026
CEFTAZIDIME 1GM (VIAL)
06/10/2026
06/17/2026
IV
1g
Q8
Cap Mr
Remove - Pending Acceptance
06/11/2026
LEVOFLOXACIN 500MG (TAB)
06/11/2026
06/18/2026
PO
500mgtab
Od
Cap Mr
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: