Saligo, Francisco S.

HRN: 15-92-43  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/26/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
02/26/2023
03/05/2023
IVTT
1.5 Grams
Q6hours
Empiric
Waiting Final Action 
02/26/2023
AZITHROMYCIN 500MG TABLET (TAB)
02/26/2023
03/03/2023
PO
500mg
OD
Empiric
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: