Guzon, Virgilio S.

HRN: 27-22-57  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/23/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
06/23/2026
06/30/2026
IV
80mg
Q8H
Open Fx IIIB Right Leg
Checking Initial Appropriateness 
06/23/2026
BENZYL PENICILLIN 5MU (VIAL)
06/23/2026
06/30/2026
IV
5M IU
Q 6H
Open Fx IIIB Right Leg
Checking Initial Appropriateness 
06/23/2026
CEFAZOLIN 1GM (VIAL)
06/23/2026
06/30/2026
IV
1g
Q 8H
Open Fx IIIB Right Leg
Checking Initial Appropriateness 
06/26/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/26/2026
07/02/2026
IV
500mg
Q6
Open Fracture IIIB Right Leg
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: