Bolingas, Anselmo .

HRN: 28-91-97  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/03/2026
CEFTRIAXONE 1G (VIAL)
07/03/2026
07/10/2026
IV
2g
Od
Cuti
Remove - Pending Acceptance
07/03/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/03/2026
07/09/2026
IV
2.25gm
Q6H
CAP HR And Complicated UTI
Remove - Pending Acceptance
07/03/2026
AZITHROMYCIN 500MG TABLET (TAB)
07/03/2026
07/07/2026
PO
500mgtab
Q24
CAP HR
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: