Carzo, Fortunato C.

HRN: 15-43-19  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/08/2023
CEFTRIAXONE 1G (VIAL)
01/08/2023
01/14/2023
IV
2g
OD
Complicated UTI
Waiting Final Action 
01/14/2023
LEVOFLOXACIN 500MG (TAB)
01/14/2023
01/20/2023
ORAL
500mg
OD
Complicated UTI Prob Sec To Nephrolithiasis
Waiting Final Action 
01/08/2024
AZITHROMYCIN 500MG TABLET (TAB)
01/08/2024
01/10/2024
ORAL
500mg
OD
CAP MR
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: