Mayordomo, Celestino .

HRN: 27-75-73  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/22/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/22/2026
06/29/2026
IV
1.5g
Q8h
CAP-MR
Checking Initial Appropriateness 
06/22/2026
AZITHROMYCIN 500MG IV
06/22/2026
06/26/2026
IV
500mg
Q24
CAP-MR
Checking Initial Appropriateness 
06/24/2026
CO-AMOXICLAV 625MG (TAB)
06/24/2026
06/30/2026
PO
625 Mg
Q8h
CAP-MR
Checking Initial Appropriateness 
06/25/2026
CO-AMOXICLAV 625MG (TAB)
06/25/2026
07/02/2026
ORAL
625mg
Q8
CAP
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: