Musa, Macram .

HRN: 29-23-26  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/29/2026
CEFTAZIDIME 1GM (VIAL)
06/29/2026
07/06/2026
IV
2g
Q8h
Pneumonia
Remove - Pending Acceptance
06/30/2026
AZITHROMYCIN 500MG TABLET (TAB)
06/30/2026
07/05/2026
PO
500
OD
CAP MR
Remove - Pending Acceptance
07/01/2026
COTRIMOXAZOLE 960MG (TAB)
07/01/2026
07/21/2026
PO
1920mg
Tid
Candidiasis
Remove - Pending Acceptance
07/01/2026
COTRIMOXAZOLE 960MG (TAB)
07/22/2026
08/29/2026
PO
960mg
Od
Candidiasis
Remove - Pending Acceptance
07/01/2026
FLUCONAZOLE 2MG/ML, 100ML (VIAL)
07/01/2026
07/07/2026
IV
200mg
Od
Candidiasis
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: