Asi, Yahsin J.

HRN: 22-19-09  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/12/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
11/12/2022
11/18/2022
PO
7.5ml
OD
Typhoid Fever
Waiting Final Action 
11/17/2022
CEFTRIAXONE 1G (VIAL)
11/17/2022
11/23/2022
IVT
1.5gm
Q12
Typhoid Fever
Waiting Final Action 
11/17/2022
CIPROFLOXACIN 500MG (TAB)
11/17/2022
11/23/2022
PO
250mg/tab
Q12
PCAP
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: