1-m 7=LLr-lZ-1,.; 0-n4 FI D | | W a s > X~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~FISE"

0 i

*.Maryland

Toby Kosowski Ascherman, M.D.4879 Chevy Chase Dr.

*.Chevy Chase, MD 20815

*Debra Lynn Birenbaum, M.D.*2308 Shaded Brook Dr.Owings Mills,MD 21117-2346

*Gregory John Downing, D.O., PhD12321 Morning Light Terr.

*North Potomac, MD 20878

Jeanette Ruth McDaniel, M.D.3929 Whispering Meadow Dr.

*Randallstown, MD 21 133

Scott Matthew Myers, M.D.*.10SylvanOakWay*.Baltimore, MD 21236

Samuel Michael Reiner, M.D.6006 Camelback Ln.

.Columbia, MD 21045

*.New Jersey

Kecia Marie Brooks Smith Lowe, M.D.50 Forest St.

*.Montclair, NJ 07042-3811

*.Beth Allison Burroughs-Abidi, M.D.*. 116 Bunning Dr.Voorhees, NJ 08043-4168

iLydia Mitkova Charles, M.D.i4 Fox Hollow Rd.iMontville, NJ 07045

i.Martin Allan Finkel, D.O.iCenter for Children's Support42 E. Laurel Rd., Ste. 3400

iStratford, NJ 08084

iMark Phillip Jacobson, D.O.505 Bay Ave., #101Somers Point, NJ 08244

iToril H. Jelter, M.D.iPinnacle Med. Groupi578 US Hwy.1iNew Brunswick, NJ 08901

iManinder Singh Kalra, M.D.i76 McClean Ave., #2nd Floor;Staten Island, NY 10305-4612

iMichael David Nathan, D.O.280 E. 33rd St.

iPaterson, NJ 07504

iMafalda Tesorero-Tengco, M.D.i2550 Klockner RdHamilton Square, NJ 08690-2802

iAnca Cataline Tomsa, M.D.i.North Jersey Pediatricsi1710 Fairlawn AveiFairlawn, NJ 07451

iPeter N. Wenger, M.D.i3-04 Berdan Ave..FairLawn.,NJ 07410

*.Sau Yan Yee, M.D.729 Mainsail Ln.Secacus, NJ 07094

.PennsylvaniaJohn Thomas Burns, M.D.*777 Rural Ave., 3rd Flr SouthWilliamsport, PA 17701

Femando Santos Carlos, M.D.*.#10 Barstow AvenueTowanda, PA 18848

*.Melanie Ariane Gold, D.O.2308 Marbury Rd.Pittsburgh, PA 15221-3670

Yolanda Maria Valdes, M.D.8430 W. Broward Blvd., #300Plantation, FL 33324

Jesse A. Walck, M.D.327 Maderia Cr.Tierra Verde, FL 33715

Ophthalmology Specialty FellowMark S. Dorfman, M.D.2740 Hollywood Blvd.Hollywood, FL 33020

Orthopaedics Specialty FellowEllen Marie Raney, M.D.

*12502 N. Pine Dr.Tampa, FL 33612-9499

.Georgia

Adegboyega O. Aderibigbe, M.D.122 Sycamore WalkStockbridge, GA 30281

Joanne Cono, M.D..311St PaulIAve.Atlanta, GA 30312

*.CynthiaJo Dill, M.D.804 Dixie StreetCarrollton,GA 30117

*Hubert L. Greenwald, D.O.*5181 Dellrose Court*Dinwoods, GA 30338

Carol Leigh Price, M.D.1270 Mc Connell Dr., D

*Decatur, GA 30033

*Nicole Petersen Shepard, M.D.4029 Quail Hollow Rd.

*.Albany, GA 31707

Harold Kenneth Simon, M.D.1686 Rosemont PI.Atlanta, GA 30329

.KentuckyRamona Marie Browning, M.D.

*202 Don Allen Rd.Louisville, KY 40207

Sharon Marie Winquist Curtis, M.D.*425 S. Hubbards Ln., #406Louisville, KY 40207

John Rishel Walker, D.O.*.Lexington Neonatal Assoc.,PSC1780 Nicholasville Rd., #201Lexington, KY 40503-1424

North Carolina

*.Jennie Andresen, M.D.110 Lady Di Drive

*.Winterville, NC 28590

Charles McAnally Blanton, M.D.6222 Creola Rd.Charlotte, NC 28270

*.Linda Hipp Butler, M.D.6808 Jean Dr.Raleigh, NC 2761 2-6811

Shari Leigh Orlicek, M.D.*.Dept. of PediatricsWake Forest University

*.Medical Center Blvd.Winston-Salem, NC 27157

.South Carolina

Robin Ong Go, M.D.1040 Marlboro Way, Ste #1

.Bennettsville,SC 29512

Sheri Scott Lammonds, M.D.*.913 Bowman Rd., Ste A3Mt Pleasant, SC 29464

Dear Academy Fellow:In order to fulfill the admission requirements of AAP Bylaws, you are requested to:1 ) carefully review the following list of new applicants for Academy membership; and relay your reactionsdirectly to your District Chairperson, whose name and address is at the end of this list.

In submitting these names of board-certified pediatricians to you, it is understood that academic and pedi-atric credentials are not in question. Comments are requested concerning possible legal and/or ethicalsituations of which you might have personal knowledge.Send any comments on the following list of new applicants to your District Chairperson byJuly 15.

Vermont

Jerry Steven Hale, M.D.S1 Stiring Place89 Main St.Burlington, VT 05401

Uniformed Services East

Brantly Webster Baynes, M.D.Hidden Oaks310 Abbey Court, #H-6Biloxi, MS 39531

Michael Carlyle Dubik, M.D.16 Duvall Ln.Gaithersburg, MD 20877

Tammy Lin Kitchens, M.D.6912 Aulena PI.Diamond Head, MS 39525

Sara Schweigert Rickman, M.D.108 Leslie LaneYorktown, VA 23693

Les Ian Wolkoff, AA.D.48 Summit Rd.Port Washington, NY 11050-3316

Fazlul Hamid Yusuf, M.D.58-01 Main St.(Bsmt.)Flushing, NY 11355

Jeanne M. Zinzarella, D.O.4 Birchwood Court, #1 CAAineola,NY 11501

New York 3

Nina Zarudsky Arlievsky, M.D.Peds. ID, Dept. of Peds.New York Medical CollegeValhalla, NY 10595

Loretta Young Au, M.D.242 E. 19th St., #313NewYork,NY 10003-2635

Ada Bar, M.D.19 Bonnie WayLarchmont, NY 10538

Susan B. Bostwick, M.D.435 E. 70th St., Apt. 23BNew York, NY 10021

Joseph T. Boyer, M.D.176 Oakland Ave.Eastchester, NY 10707

Agnes Lopez Daliva, M.D.3636 Waldo Ave., Apt. 5DBronx, NY 10463-2248

Igal Fligman, M.D.147 Underhill Ave.White Plains, NY 10604

Rosemary Johann-Liang, M.D.32-17 168th St.Flushing, NY 11358-1529

Suzanne C. Li, M.D.45 E. 89th St., #14FNewYork,NY 10032

Deborah Maria Lopez, M.D.3103 Fairfield Ave., #1 1-ABronx, NY 10463

Samy Rizkallah Saad, M.D.6 Van Over Dr.Old Bridge, NJ 08857

Azfar Shabbir, M.D.74-10 263rd St.Glen Oaks, NY 11004

Marino A. Torres, M.D.127-3 S. Highland Ave., #C-6Ossinging, NY 10562-5805

Robert J. Wallerstein, M.D.48 Lincoln St.Glen Ridge, NJ 07028-1222

Deleware

Matthew Patrick Gotthold, M.D.1202 Foulk Rd.Wilmington, DE 19803-2796

Susan S. Kim, M.D.942-A Walker Rd.Dover, DE 19904

Renee Kathrin Kottenhahn, M.D.2025 Harwyn Rd.Wilmington, DE 19810

Christopher Kim, M.D.1416 Reading Blvd.Wyomissing, PA 19610

Pamela Giliberto Mehalick, D.O.23 Chester Pike, #200Ridley Park, PA 19078

Catherine V. Parrillo, D.O.35 Harvard Rd.Norristown, PA 19401

Kishorkumar N. Shukla, M.D.1805 Tall Trees Dr.Scranton, PA 18505-2259

Steven M. Snyder, D.O.1200 Old York Rd.Abington, PA 19001

Dara Gerard Tynan, M.D.147 Byberry Rd.Hatboro, PA 19040

Timothy D. Welby, M.D.920 Viewmont DriveDickson City, PA 18519

Rubina Ahmed Zaman, M.D.Pediatric Adol. Specialist11 Gallagher Dr.Plains, PA 18705

Gregg S. Zankman, D.O.210 Floral Vale Blvd.Yardley, PA 19067

Ophthalmology Specialty FellowColleen June Christian, M.D.1000 N. Broad St.Lansdale, PA 19446

Anesthesiology Specialty FellowKathleen Susanne Donahue, D.O.278 E. Chocolate Ave., #1Hershey, PA 17033

West Virginia

Jamie Latham Jeffrey, M.D.500 Woodbridge Dr.Charleston, WV 25311

ThorWilly Ruud Hansen, M.D.Dept. of PediatricsRikshospitalet, Pilestredet 32N-0027, Oslo, Norway

Maine

Jane Shirley Ho, M.D.12 High ST, Suite #300Lewiston, ME 04240

Marc Bfian Perlman, M.D.Central Maine Medical Center300 Main St.Lewiston, ME 04240

MassachusettsElizabeth L. Aarons, M.D.3 Burnham Ln.Danvers, MA 01923-1745

Hijab Chaudhary, M.D.129 Franklin St., #205Cambfidge, AAA 02139

Julie Dollinger, M.D.Lexington Pediatfics19 Muzzey StreetLexington, AAA 02173

Elizabeth Goodman, M.D.Div. of Adolescent MedicineChildren's Hospital300 Longwood Ave.Boston,MAA 02115

Veena Rani Kumar, M.D.19-F Beal's Cove Rd.Hingham, AAA 02043

Jennifer L. Leathe, M.D.140 Commonwealth Ave.Daners, AAA 01923

Ekatefina Melcuk, M.D.70 Centre St., Apt. #7DBrookline, AAA 02146

R. Nagasubramanian, M.D.53 Dublin St., #12Machias, ME 04654

Cindy Jane Osman, M.D.206 Arborway, #2Jamaica Plain, MA 02130-3512

Michael Ogden Rich, M.D.Div. of AdolescentYoung Adult Medicine300 Longwood Ave.Boston,MAA 02115

Ronald C. Samuels, M.D.27 Carver RoadNewton, AAA 02161-1007

Daniel Herbert Slater, M.D.36 Oxbow Rd.Wayland, AAA 01778-1106

Milana Stavitsky, M.D.395 Lowell Ave.Newtonville, AAA 02160-2148

Joel Stemmer, M.D.14 Arboro DriveSharon, MA 02067

Mary Wong, M.D.54 Harding StreetWest Newton, MA 02165

Rhode Island

Nazeeh N. Hanna, M.D.60 Ridgefield Dr.EastGreenwich, RI 02818-3059

New York 1

Sivaneawary Siv Ananda, M.D.39 W. 6th St.Left Lower Apt.Oswego, NY 13126

Maria Carina David, M.D.9 Spruce Ridge Dr.Fishkill, NY 12524

Chakrapani Irri, M.D.281 Grant Ave Med Ctr.C/o Children's Health Spec.Auburn, NY 13021

Heather Lauren Kaufman, M.D.789 W. Ferry St., Apt. B5Buffalo, NY 14222-1647

Deborah Leadholm Kriss, M.D.11 Maple Vilew Ave.Nassau, NY 12123

Jai P. Udassi, M.D.342 N. Hoopes Ave.Auburn, NY 13021

New York 2

Muhammad A.Q. Arshad, M.D.153-35 78th StreetHoward Beach, NY 11414

Kevin William Benson, M.D.632 Oak Weck RdWest Islip, NY 11795

Richard Gregory Hill, M.D.1 Montauk Hwy.West SayvilIle,NY 11796

Musarrat K. Hussain, M.D.127 Point Cr.Coram,NY 11727

Marie Bailo Schroeder, M.D.571 Chestnut StreetCedarhurst, NY 11516

Randi April Sperling, D.O.2845 Whaleneck DriveMerrick,NY 11566

Miao-Kuang Tang M.D.4211 Kissena Blvd,1 #1AFlushing, NY 11355

Susan Lisa Ungar, M.D.101 W. 90th St., #8FNew York,NY 10024

Adela Wichs, M.D.1534 E. 10Oth St.Brooklyn, NY 11230

Florida

Mimi Abella-Blanco, M.D.1137 Placetas Ave.Coral Gables, FL 33146

Felicity Garcia Agana, M.D.679 Wellington Stn. Blv., #38Ormond Beach, FL 32174

Julia Bertha Barriga, M.D.1814 Sunset Point Rd., #LClearwater, FL 34625-1031

Sangeeta Bhargava, M.D.14104 Snead CircleOrlando, FL 32837

Margarita Bidegain, M.D.PO Box 1839.Miami, FL 32902-1839

Mana Eloisa Albay De Padua, M.D.1799 Mahaffey CircleLakeland, FL 33811

Grete Amy Peck, D.O.10941 NW9th CourtPlantation, FL 33324-7337

Gabriela M. Roitman-Geller, M.D.1649 S. Kirkman Rd., #376Orlando, FL 32811

Desiree C. Spehn-Roland, M.D.200 Vista Ln.Naples, FL 34119

36 AAP News June 1998

GUOt3@fS0rr~~~~~~~~~~~~~~~~~~~~~~ 1,: \ofu/T1( P- I uSSi_;/;

*.Kalugotla Narayan Shivaram, M.D.*.315 N. WestRidge Dr.,#2*Carbondale, IL 62901

Tammy Harris Sims, M.D.1331 W.187th St.

*Homewood, IL 60430

*.Iowa

Gregory L. Garvin, D.O.*1351 W. Central Park, #4100Davenport, IA 52804-1889

Donna M. Norman, D.O.1351 W. Central Park, #4100Davenport, IA 52804

..Kathryn M. Skopec, M.D.*9779 Deer Ridge Dr.*.Cedar Rapids, IA 52402

*Kansas

*Ramzieh Azmeh, M.D.6413 E.11ith St. N.

*.Wichita, KS 67206

*.Minnesota

*.Stephanie Strassburger Faubion, M.D.*820 10Oth St., SWRochester, MN 55902

*Thomas Matthew Hetzel, M.D.3151 Chowen Ave., S., #249Minneapolis, MN 55416-1516

*.Sharon Brennan Jaeger, M.D.1810 Pinehurst AveSt. Paul, MN 55114-2117

John R. Paulson, M.D.South Lake Clinic17705 Hutchins Dr.Minnetonka, MN 55345

Shelly L.P Strong, M.D.7803 Afton RoadWoodbury, MN 55125

.Missouri

Douglas G. Cottrell, D.O.1501 E.10Oth St., #A

*.Rolla, MO 65401

Cindy Burch Daugherty, M.D.5006 W. 69th TerracePrairie Village, KS 66208

Laura Ann Rosenberger Esswein, M.D.*10024Watson Rd.*.St. Louis, MO 63126

Marcelo Gonzalez, M.D.*1940 Mistflower Glen Ct.Chesterfield, MO 63005

Monzer Naji, M.D.977 Louisiana

*.Sullivan, MO 63080

Ellen Hindman Thomas, M.D.401 Keene St.Columbia, MO 65201

Virender Kumar Singhal, M.D.Children's Mercy Hosp.Dept. of Surgery

*.241 Gillham Rd.*Kansas City, MO 64108

*Nebraska

*.Jillyn A. Kratochvil, M.D.104 S. 51stSt.

*Omaha, NE 68132

Wisconsin

Elizabeth Dianne Cox, M.D.*5002 Sheboygan Ave., #208*.Madison, WI 53705

John Michael Janczakowski, M.D.*.2904 Big Timber Circle*.Green Bay, WI 54313

Alabama

Janet Chandler Harris, M.D.1890 Huntington RoadBirmingham, AL 35209

Arkansas

loannis A. Moissidis, M.D.519 Par Dr., Apt. #11Marion, AR 72364

J. Darrell Nesmith, M.D.Springer Bldg.800 Marshall St.Little Rock, AR 7220

Eddie W. Shields, M.D.Arkansas Allergy & Asthma Cl.PO Box 55090Little Rock, AR 72215

Louisiana

Gerald Alan Ross, M.D.339 Bermuda St.New Orleans, LA 70114

Mississippi

Robert Dale Blubaugh, D.O.1730-C 14th ST.Meridian, MS 39301

Oklahoma

Stanley E. Grogg, D.O.3315 E. 47th PI.Tulsa, OK 74135-2911

Albert Kenneth Harey, D.O.937 SW 89th St., #AOklahoma City,OK 73139-9257

Brian Kenneth Lepley, D.O., MPH809 SW 89th St., #BOklahoma City,OK 73139-9300

Geeta R. Singhal, M.D.8830 S. ToledoTulsa,OK 74137

Mark Vito Speziale, M.D., PhD7727 S. Memorial Dr., #2-306Tulsa,OK 74133

Texas

Soopeen Chin, M.D.3209 Sinclair Ave

*Midland, TX 79707

*.Gretchen Marie Eames, M.D.*Cook Children's Medical Ctr801 Seventh Ave

*.Ft. Worth, TX 76104

Cheryl Elaine Gariepy, M.D.* 5334 Bond St., #317.: Irving,TX 75038-3106

::Karen Lynn Gibbons, M.D.26010 Fossil Oak Lane

::San Antonio, TX 78255-3520

Arizona

Amy Caroline Baldwin, M.D.1728 W. Glendale Ave., #102Phoenix,AZ 85021

Lindsay Noonan Campbell, M.D.3901 E. Bethany Home Rd.Paradise Valley, AZ 85253

Barbara Zieglschmid Lednicky, M.D.3149 E. Malapai DrivePhoenix, AZ 85028-4824

Paula Y. Paradis, M.D.-P.O. Box 687Chinle, AZ 86503

Mark P. Salerno, M.D.4921 E. Bell Rd., #103Scottsdale, AZ 85254

Donalynn Sherman Scurry, M.D.2233 E 2nd StTucson, AZ 85719-4930

Steven Ira Spiess, M.D.2097 N. Lakeshore Dr.Casa Grande, AZ 85222

Colorado

MargaretA. Ferguson, M.D.Denver Health Medical CenterDept of Peds/ MC 0590777 Bannock St.Denver, CO 80204-4507

Nikki Montoya Sides, M.D.*.10700 E. Cartmouth Ave.,0-302Aurora, CO 80014

*Sandra L. Hochstatter Yockey, M.D.Bear Trap Ranch.PO Box 1327*Colorado Springs, CO 80901

.Hawaii

*Benilda Castio Luz, M.D.92-5007 Limukele St.

*Kapolei, Hi 96707

*Montana

Kenneth J. Graham, M.D.*. 1101 S. Montana St.*.Butte, MT 59701

*Susan Maurine Shepherd, M.D.*Advanced Pediatrics401 S. AlabamaButte, MT 59701

*New Mexico

Pawitta Kasemsap, M.D.*PO Box 7094*.Las Cruces, NM 88006

*.Ophthalmology Specialty FellowTodd Alan Goldblum, M.D.303 Mulberry St., NE, #D

*Albuquerque, NM 87106

*Oregon

William John Brown, M.D.*.6550 SW Parkhill Dr.Portland, OR 97201-2656

*Brent William Heimuller, M.D.*420 NE 5th St.*.McMinnville, OR 97128

Natasha Andrea Polensek, M.D.6327 SE Milwaukee Ave.

*.Portland, OR 97202

*Utah

*Robin S. Smith, M.D.2659 E. Comanche Dr.Salt Lake City, UT 84108-2808

Uniformed Services West

*Peter Francis Berglar, M.D.4300 Butte CircleAnchorage, AK 99504

Charles David Brickner, M.D.*.S.626 Montavilla Dr.Spokane, WA 99224

*.Jerrie G. Lim, M.~D.377 Medical Group(AFMC) SGOMP1950 2nd St., SE

*.Kirtland, AFB, NM 87117

Roxanne Marie Macomber, M.D.6658 Quail Spring Ave.

*.Twenty-Nine Palms, CA 92277

Washington

Conlrxio Vrendo Calcepcio, M.D.1614 E. Edison Ave., Ste.ASunnyside, WA 98944

Neil K. Kaneshiro, M.D.17000 140th Ave., NE, #102Woodinville, WA 98072

*.Wendi Irene Firston AAotgoney, M.D.835 NE91stSt.

*.Seattle, WA 98115

VincentJames Lloyd, M.D.140 Rollingwood Dr.Lexington, SC 29072-9580

James R. Roberts, M.D.3266 Scranton Rd.Mt. Pleasant, SC 29464-8538

Tennessee

Lorraine Rose Byrd, D.O.2497 S. Roane StreetSuite #280Harriman, TN 37748

Dirk Hamp, M.D.Children's Clinic of Paris,PC300 Hospital Cr., #204Paris, TN 38242

Amy Odom Hardin, M.D.2810 Hunters Horn SouthGermnantown,TN 38138-6285

Richard Allan Nelson, M.D.7399 Macon Rd.Cordova,TN 38018

Harry Joel Sanner, M.D.8914 Northshore Dr.Knoxville, TN 37922

Virginia

Laura E. Hobbs Byrnes, M.D.2445 Dakota Lake Dr.Hemdon,VA 20171

Lora Gill Christian, M.D.4006 Wythe Ave.Richmond, VA 23221

Sheryl Gar-Mei Li, M.D.11109 Stuart Mill CtOakton, VA 22124-1039

LindaAnn Waggoner-Fountain, M.D.University of VirginiaDept of Pediatrics, Box 386Charlottesville, VA 22908

Indiana

Basel Khatib-Kaswani, M.D.959 Marcia Ct.Lawrenceburg, IN 47025-9066

MichiganEmmanuel L. Apostol, M.D.446 Colonial Ct.Grosse Pointe Farms, MI 48236

Marc P. Bocknek, D.O.1461 S Milford RdHighland, Ml 48357

David S. Duffey, D.O.Holland Pediatric Assoc., PC926 S. WashingtonHolland, MI 49423

Dana Adrian Ewles, D.O.38344 James Dr.Clinton Twp., Ml 48036

Bemard Kay, D.O.Michigan State UniversityDepartment of PediatricsEast Lansing, Ml 48824

Wayne E. Miller, M.D.654 Pine TreeLake Orion, MI 48362

Rick A. Poston, D.O.22995 Hall Rd.Woodhaven,MI 48183

Janette Morin Sims, M.D.4735 West River Dr.Comstock Park, MI 49321

Tajinder P. Singh, M.D.18369 W.13 Mile Rd., #31Southfield, MI 48076-8021

Martin Kevin Wakeham, M.D.535 Wright Ave., #26Alma, MI 48801

Ohio

Anthony Paul Bartholomew, D.O.916 Murray Ave.Ravenna, OH 44266

Steven M. Bass, D.O.5125 Beacon Hill Rd.Columbus, OH 43228

Marc R. Belcastro, D.O.1 Wyoming St.Dayton, OH 45409-2722

Rebecca Charlene Brady, M.D.222 Senator PI., #11Cincinnati, OH 45220-1729

C. Thomas Clark, D.O.Ohio Univ.052 Grosvenor WestAthens, OH 45701

Roberta Anne DiLego, M.D.791 Ashton Cir., #309Kettering, OH 45429-3498

Lisa N. Gelles, M.D.7149 Meadowbrook Dr.Cincinnati, OH 45237

RamaJasty, M.D.Medical College of OhioDept. of Pediatrics3000 Arlington Ave.Toledo, OH 43614

Joseph Yu Li, M.D.90 Jackson PikeGallipolis, OH 45631

Connie Jo McCarroll, D.O.1 Wyoming St.Dayton, OH 45409

Laura Jane Head Milgram, M.D.2270 N. Saint James Parkway

*Cleveland, OH 44106-3658

*Paul Gregory Smith, D.O.453 Longspur Rd.

*Highland Hts., OH 44143

*Beth Ann Vogt, M.D.2534 Dodd Rd.

*Willoughby Hills, OH 44094-6936

Diana Theresa Wagner, M.D.369 Hubbard Ave.Columbus, OH 43215-1383

Faye Mansour-Shammo, M.D.20611 Watertown Rd.Waukesha, WI 53186-1871

Victoria Lynn Viegut, M.D.1000 N. Oak Ave.Marshfield, WI 54449

Susan Jane Wells, M.D.2904 Big Timber CircleGreen Bay, WI 54303

Mark Douglas Hays, M.D.3533 S. AlamedaPO Box 331240Corpus Christi, TX 78463-1240

Mark Edward Lawson, M.D., MPHDept. of Pediatrics4800 Alberta Ave.El Paso, TX 79905-2700

Alan Levine, D.O.855 Montgomery St.Ft. Myers,TX 76107

Richard Darryll Magie, D.O.3913 Welwyn WayBedford, TX 76021 -2509

Ophard KushayahamaMupanomunda, M.D.3102 69th St., #22Galveston, TX 77551 -2060

John Edward Pliska, M.D.3533 S. AlamedaPO Box 331240Corpus Christi, TX( 78463-1240

Urmesh Subhash Shah, M.D.206 Millwood Dr.Coleyville, TX 76034

Kyle E. Worley, M.D.3570 College St.,2nd flr.Beaumont, TX 77701

Anesthesiology Specialty FellowMelanie Jeanne Alo, M.D.6621 Fannin St., #130.MC2-1495Houston, TX 77030-2399

Plastic Surgery Specialty Fellow*Eric H. Hubli, M.D.*.7777 Forest Ln., C-717Dallas, T)( 75230

m ..-,

Illinois

April Bellamy-Peyton, M.D.2165 W. 115th St.Chicago, IL 60643

Laura Jean Bianconi, M.D.260 Rock Hall Ct.Grayslake, IL 60030

Eric W. Gale, M.D.215 E. 1st St.Dixon, IL 61021

Kenneth Michael Kwiatkowski, D.O.2 S. 484 White Birch Ln.Wheaton, IL 60187-7934

Basil Ikechukwu Okoroji, M.D.#E-20811960 S. Central Park Ave.Alsip, IL 60658

Pierpaolo Rainier Palmieri, M.D.626 Beloit Ave.Forest Park,lIL 60130-1908

Elaine Allison Rosenfeld, M.D.c/o Lutheran General Hospital1775 DempsterPark Ridge, IL 60068

June 1998 AAP News 37

I A \L -1i/ rl- i I4c.-11- - - (. 5. 51-1 1- Ci)

.n

California 4

Alice Pien-Milgromi, M.D.1095 Irvine Blvd.Tustin, CA 92780

DISTRICT I

Gilbert L. Fuld, M.D.The Hitchcock Clinic590 Court St.Keene, NH 03431 -1719

DISTRICT 11

Louis Z. Cooper, M.D.St. Lukes Roosevelt Hospital1000 Tenth Ave.New York, NY 10019

DISTRICT III

Susan Aronson, M.D.605 Moreno Rd.Narberth, PA 19072-1618

DISTRICT IV

E. Stephen Edwards, M.D.2800 Blue Ridge Blvd.Suite 501Raleigh, NC 27607-6496

Califomia 1

Parvez Ahmed, M.D.2577 Samaritan Dr.Suite 725San Jose,CA 95124

Anne Lowery Ducey, M.D.1080 Silver Hill Rd.Redwood City, CA 94061

Jeff Marcus Gill, M.D.1001 Country Club Dr., Ste. DMoraga, CA 94556

Michael E. Greenberg, M.D.1529 Grove StreetSan Francisco, CA 94117-1320

Christine Loffler-Barry, M.D.14370 Kawil LaneRed Bluff, CA 96080

-k -1.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~b.

Wyoming

Lisa A. Malody, M.D.407 S Medical Arts CourtSuite FGillette, WY 82718-7603

Meena Prakasa Pai, M.D.6866 Timberwood Ct.San Jose,CA 95120

Alicia Mary Suski, M.D.3210 Dows Prairie Rd.McKinleyville, CA 95519-9450

Anita S. Tolentino-Macaraeg, M.D.1920 Parkview CircleHollister, CA 95023

Jacquelynn Lorena Tsu, M.D.115 Griffith PlaceLos Gatos, CA 95030

John ChristopherWhitney, M.D.777 Knowles Dr., #3Los Gatos, CA 95030

California 2

Ifeoma Elizabeth Anidi, M.D.1044 S. Tierra LunaWalnut, CA 91789-3635

Ravi S. lyer, M.D.12240 Hesperia Rd., #AVictorville, CA 92392

Michael Gerard LaMar, M.D.PO Box 20682Bakersfield, CA 93390

Lucille Kanjer Larson, M.D.824 E. Carson St.Carson, CA 90745

Rona E. Molodow, M.D.11767 W. Sunset Blvd., #207Los Angeles, CA 90049-2994

Sudhir B. Patel, M.D.Dept. of PediatricsKern Medical1830 Flower St.Bakersfield, CA 93305

Michael Anthony Rebolledo, M.D.11733 Montana Ave., #21 1Los Angeles, CA 90049-4796

Janet Elaine Semple-Hess, M.D.20561 Blairmoore StreetChatsworth, CA 91311 -2447

Sunthorn Sumethasorn, M.D.1700 Huntington Dr., #6South Pasadena, CA 91030-4845

Hana Yaari, M.D.624 N. June St.Los Angeles, CA 90004

California 3

Bernard Wosk, M.D.PO Box 3051Vista, CA 92085-3051

DISTRICT V.

Stanford A. Singer, M.D.16800 W. Twelve Mile Rd.Suite 205Southfield, MI 48076-2138

DISTRICT VI

Ordean Torstenson, M.D.1313 Fish Hatchery Rd.Madison,WI 53715

DISTRICT Vll

Carden Johnston, M.D.Children's Hospital of Alabama1600 7th Ave., SouthSuite 001Birmingham, AL 35233-1711

DISTRICT Vlill

Donald E. Cook, M.D.The Monfort Children's Clinic947 First St.Greeley, CO 80631

DISTRICT IX

Lucy S. Crain, M.D.UCSF Box 0374400 Parnassus AvenueSan Francisco, CA 94143-0374

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MAYO CLINICCOMMUNITYPEDIATRIC

ANDADOLESCENT MEDICINE

The Mayo Clinic is seeking to fill three staffposi-tions in thie Section ofCommunity Pediatric andAdolescent Medicine with ind'iv'iduals interestedin academic community-based primary care.Candidates must be board certified/eligible inPediatrics and have an interest in primary care aswell as teaching medical students, residents, andnurse practitioners. This recruitment effortincludes our interest in adolescent medicineand/or primary care research. Academic rankwould depend on certification and experience.Candidate should be interested in becoming partof a large, unique multi-specialty group practicein an academic setting. For information, pleaseenclose a curriculum vitae and write to:

Jay Hoecker, M.D.Chair, Search Committee

Department of Pediatric and Adolescent MedicineMayo Clinic and Foundation

200 First Street, SWRochester, MN 55905

Mayo Foundation is an affrmative actionzand equal opportunityeducatorand employer.

L

/3\I9)mary care group, just outside of Monterey/Carmel (2 hours south ofSan Francisco). Medical Spanish required. Fax: CV to Darrin Bright,D.O., (408) 771-5510.

Monterey Bay Coast -Fourth BC/BE pediatrician for thriving prac-tice in beautiful community with beaches, mountains, university.Level II nursery; new hospital. Flexible schedule. Fax c.v. to (408)722-9604.

MedClinic Medical Group-a 130-provider private multispecialtygroup practice located in Sacramento, Calif., is seeking BC/BE pedi-atrician to join group. Competitive salary and benefits offered. FaxCV to Sandi Brown, (916) 379-2998 or call (916) 379-3000.

KentuckyHazard Pediatrics -needs a pediatrician in Hazard, Ky., in a fairlyrural setting. All candidates welcome to apply. Send reply to HazardPediatrics, P.O. Box 2748, Pikeville, KY 41502-2708.

Minnesota

New Ulm Medical Center -We are currently seeking a third con-sultant pediatrician to join 25-person multispecialty clinic insouth-central Minnesota. Roles include high risk delivery room cov-erage, management of complex pediatric patients, consultationservice for family practice internally and from surrounding commu-nities, managing growing premature infants, and developing yourown well-child practice. Every third call for consultation with ER andafter hours covered by primary care. Comprehensive training expe-rience with diverse types of patients preferred, including interest inbehavior disorders. Outreach clinic development in process as sig-nificant need exists. For more information, contact CarriPrudhomme, Allina Health system; fax c.v. to (612) 992-2927 or call(800) 248-4921.

New Jersey

I...~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Sisters of the Third Order of St. Francis (OSF) have beenproviding medical care for residents of Illinois, Iowa andMichigan for more than 120 years. Their corporation, nowknown as OSF HealthCare, includes seven hospitals, twoextended care facilities, an insurance company with its ownmanaged care products, more than one dozen affiliated com-panies providing medical products and services, and OSFAAedical Group, a multi-specialty physician group with morethan 220 providers in its multi-state service area. We nowhave general pediatrics opportunities in:

Peoria, Illinois Escanaba, MichiganFor more information, please contact:

Wendy Bass at (800) 462-3621; Fax (309) 685-2574;Email: wendy.bass@osfhealthcare.com

Pediatrician and Family PractitionerSouthem Jersey Family Medical Centers, Inc., a multi-site, com-munity health center in Atlantic and Salem counties has twoprovider positions available -Staff Pediatrician and FamilyPractitioner. We offer an excellent salary and comprehensivebenefit package. Successful candidates may qualify for loanrepayment. Board Certification preferred. Mail CV with salaryrequirements to Southern Jersey Family Medical Centers, Inc.,860 So. White Horse Pike, Bldg. A., Hammonton, NJ 08037, orfax to (609) 567-1 169.

Alaska

Ketchikan -Seeking BC/BE pediatrician to join established, two-person practice with minimal managed care. Collegial partner, callshared among 3 pediatricians. Opportunities to provide outreachservices in remote areas. Excellent opportunity for pediatricianwith interest in adolescent female care. Located on the spectacu-lar Inside Passage near Misty Fjords National Monument,surrounded by Tongass National Forest. Friendly small townabounding with outdoor activities, such as fishing, hunting, hik-ing, and boating.Generous salary/benefit package as a hospitalemployed physician. Mail or fax CV to Patti Anslinger, KetchikanGeneral Hospital, 3100 Tongass Ave., Ketchikan, AK 99901; fax(907) 228-8322; voice (907) 228-8300, ext. 389; e-mailPanslingerOpeacehealth .org.

Califomia

Salinas-BC/BE Pediatrician to join a growing multispecialty, pri-

Hunterdon County Pediatrician FT BC/BE to join eleven-pediatri-cian, expanding, progressive, hospital-owned group with threeoffices. Strategic plan includes adding fourth office Fall 1998 and FTpediatrician Summer 1998 and 1999. Semi-rural county with pic-turesque small towns, excellent schools, strong economic base, andready access to New York and Philadelphia. Community teachinghospital with family practice residents and all new pediatric and nurs-ery facilities. University clinical faculty appointment possible.Excellent compensation package. Send CV to: Hunterdon PediatricAssociates, Attn.: Practice Administrator, 1100 Wescott Drive, SuiteG-3, Flemington, NJ 08822, or fax (908) 788-6466.

CLASSIFIED ADVERTISING POLICY

Whenyou need to contactpediatricians, contactAAPNews. Each month more than 53,000pediatricians,pediatric specialists, third-year pediatric residents and other subscribers turn toAA4PNewsfor child healthinformation theycannotgetelsewhere. With a classifiedad,you can speak directly to those readers.

Although the Academy believes these classified ads are fromreputable sources, the Academy does not investigate theoffers made and assumes no responsibility concerning them.

Occassionally, it is necessary to modifyvthe wording of classi-fied ads. These changes are generally made in compliancewith the regulations ofvarious federal and/or state commids-sions against discrimination or because they might beinterpreted as being urlawful or in conflict with accepted pro-fessional standards ofmedical practice.These advertising modifications are made to maintain a clas-sified section that is professionally responsible, lawful,scientific and free of discrimination.

Published Monthly fAmerican Academy of Pediatrics \1[.9b i<RO. Box 927\;, ;/ElkGrove Vllage,IL60009-0927\

Publication ofan advertisement inAAP News neither consti-tutes nor implies a guarantee or endorsement byAAP Newsor the AmericanAcademy of Pediatrics ofthe product or ser-vice advertised or of the claims made for the product orservice by the advertiser.

Classification: Classified ads are accepted under BusinessServices, General Announcements, Medical Meetings,Physicians Wanted, Positions Wanted, Practices Available,Pubfications, Real Estate and Residencies/FellowshipsAvailable.

Display Classified Ads: Camera-ready, 4-color, 3-color and2-color display classified ads are accepted under GeneralAnnouncements, Medical Meetings, Physicians Wanted,Positions Wanted, Practices Available and Residencies/Fellowships Available. ContactAAPNewsfor display classiffldad sizes and rates.

For more information, contact: Pete Petersen, ClassifiedAdCoordinator, at (800) 433-9016, ext.7667. In Illinois, (847) 981-7667. Ad copy and payments may be sent to: Classified Ads,AAPNews, PO. Box927, ElkGroveVillage, IL60009-0927.

- _IVON wnW

June 1998 AAP Ne-ws 39

( tFLt \ g3-,C- U-f- OQI 3I

Specialty Reviews. 'in Pediatritc CardilologyJune 23-27, 1998

Specialty Revilews. in Pediatrilc Hlematology/OncologySeptembff 13-15, 1998

THE Call 800-404-3637CNAIO°NRAL to register or for more informiation on these

2zforAdvanced outstaiiding courses providing comprehensive,Medica.l Education- fully-accredited Board preparation and2000 Crawford Place * Suite 100Mount Laurel,NJ08054 practical applicafions for dlinical practice.

September"The Developing Child XIX: Attention Deficit HyperactivityDisorder Update"-September 18, 1998,Champaign, Ill., by CarleClinic Association. Contact: Annette Lansford, M.D., (217) 383-3100; fax (217) 383-7018.

October

"Aloha Update: PediatricsE 1998" -Kauai, Hawaii, Oct. 3 - 9,1998. Sponsored by University Children's Medical Group and AAPDistrict IX, Califomia Chapter 2. Contact Laura Thomas, 6430 SunsetBlvd., Suite 600, Los Angeles, CA 90028. Phone: (800) 3-KID-CME.

"Pediatrics for the Practitioner" -Big Island, Hawaii, Oct. 12-15,1998. Sponsored by Saint Luke's Hospital and Children's MercyHospital of Kansas City. Call (816) 932-2220 or send e-mail toCMEX?SAINT-LUKES.ORG for information.

"Pediatrics Infectious Disease Seminar" -(Sixteenth Annual LloydNoland), at the Buena Vista Palace, Walt Disney World, Florida,October 14-17, 1998. Faculty: Drs. Feder, Jr., Barson, Romero, Brady& Sawyer. Call, fax or write: George M. Converse 111, M.D., FAAP,Department of Medical Education, Lloyd Noland foundation, POBox 925, Fairfield, AL 35064-0925 (205) 783-5276 (voice & fax).

November

"Thyroid Disease in Pregnancy and Postpartum Period" -Nov. 5- 8, 1998, Amelia Island Plantation, Amelia Island, Fla.Topics willcover areas of endocrinology, obstetrics, fetal and neonatal medi-cine and psychiatry. Contact CME Office, Mayo Clinic Jacksonville,4500 San Pablo Rd., Jacksonville, FL 32224; (800) 462-9633 or(904) 953-71 14.

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MEDICAL GROUP

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offices in Salem, Ore. We offer our physicians a competitive salary and a benefits package which includes a gener-ous retirement program, professional liability coverage, sabbatical leave and more. For information regarding theseexciting opportunities, please forward CV to A. P. Clark, Director of Professional Resources, Northwest Permanente,P.C., 500 NE Multnomah, Suite 100, Portland, OR 97232-2099; (800) 813-3763. EOE.

PennsylvaniaPenn State Geisinger Health System -is currently seeking BC/BE pediatricians to join its multispecialty group prac-tice in State College, Penn. Join two other pediatric physicians in this busy medical practice. Call is shared with nearbysister clinic and is 1:5. Administrative opportunity available if desired. State College, located in the heart ofPennsylvania, is home to Penn State University. The area offers a tremendous amount of educational, cultural andrecreational activities to enjoy. State College provides an excellent business climate and offers a superior quality oflife. We offer a competitive salary and excellent benefit package. For additional information, please contact: Penn

State Geisinger Professional Staffing (PP-AB), 100 North_ ~~~~~~~~~~~~~AcademyAve., Danville, PA 17822-1528; phone (800)

_W_ ~~~~~~~~~~~~845-7112;fax (800) 622-2515. E.O.E. M/F/H/V.

New Yorkc

Join successful practice in Upstate New York -BC/BE pediatrician needed to join group practice in Watertown,N.Y. Competitive salary and benefits, call 1 in 8, partnership desired. Contact Dr. Al Gianfagna at (315) 782-7330or fax (315) 782-5773.

OregonPortland -Experience the best of the Northwest! Practice in a stimulating professional environment in one of themost successful managed care systems in the country and enjoy a quality lifestyle inherent to the beautiful PacificNorthwest! Our physician-managed multispecialty group providing care for 430,000 Kaiser Permanente membershas the following opportuniffes: a part-time position in Portland for a BC/BE pediatrician to share responsibility forcovering our urgent care clinics after-hours and weekends; and a 75% position in general pediatfics at our medical

General

Adverse events in children following exposures toinsect repellents containing DEET. PEGUS Research,Inc., is studying adverse events following exposures toDEET. We are seeking information from pediatriciansregarding patients who may have experienced neuro-logical, systemic or unusual symptoms. Parents ofpatients will be asked to participate in a telephone inter-view. For additional information, please call Dr. BrentPage, or Karen Bateman, R.N., at PEGUS Research,(800) 949-0089.

40 AAPNews June 1998

ANTI-SMOKING T-SHIRTSThere are some left.

$5.00 eachor $50.00 per dozen.

Phone: (847) 981-7667

Califomia

A well established solo pediatric practice in the SanFrancisco area- Respond to: AAP News, Box 01228,141 Northwest Point Blvd., Elk Grove Village, IL 60007.

ADSBYE-AI

AAPNews can now acceptyour classified advertising

by e-mail!Send ads to ppetersen@aap.org

Thne second announcement Is available on ahttp://www.rai.nl/congress/pediatri/en/

Zithromaxe~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~V61(uzithromycin fororulsuspension)0

References: 1. Data on file. Pfizer Inc, New York, NY. 2. McLinn S, Williams D. High incidence ofStreptococcus pneumoniae and Haemophilus influenzae (beta-lactamase) resistance in recent otitis mediaclinical trial isolates. Presented at the 35th Interscience Conference on Antimicrobial Agents andChemotherapy; September 17-20, 1995; San Francisco, Calif. Abstract. 3. Hardy DJ, Hensey DM, BeyerJM, Vojtko C, McDonald EJ, Fernandes PB. Comparative in vitro activities of new 14-, 15-, and 16-membered macrolides. Antimicrob Agents Chemother. 1988;32:1710-1719. 4. Retsema J, Girard A,Schelkly W, et al. Spectrum and mode of action of azithromycin (CP-62,993), a new 15-membered-ringmacrolide with improved potency against gram-negative organisms. Antimicrob Agents Chemother.1987;31:1939-1947. S. McLinn S. Double blind and open label studies of azithromycin in themanagement of acute otitis media in children: a review. Pediatr Infect DisJ. 1995;14:S62-S66.6. Khurana C, McLinn S, Block S, Pichichero M. Trial of azithromycin (AZ) vs Augmentin (AUG) fortreatment of acute otitis media (AOM). Presented at the 34th Interscience Conference on AntimicrobialAgents and Chemotherapy; October 4-7, 1994; Orlando, Fla. Abstract.

Augmentin (amoxicillin/clavulanate potassium) is a registered trademark of SmithKline BeechamPharmaceuticals

ZITHROMAX"{azithromycin for oral suspension)

BRIEF SUMMARY

INDICATIONS AND USAGEZITHROMAXO (azithromycin) is indicated for the treatment of patients with mild to moderate infections (pneumonia: seeWARNINGS) caused by susceptible strains of the designated microorganisms in the specific conditions listed below. Asrecommended dosages, durations of therapy, and applicable patient populations vary among these infections, please seeDOSAGE AND ADMINISTRATION for specific dosing recommendations.

Acute otitis media caused by Haemophilus influenzae, Moraxella catarrhalis, or Streptococcus pneumoniae. (Forspecific dosage recommendation, see DOSAGE AND ADMINISTRATION.)

Community-acquired pneumonia due to Chlamydia pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae,or Streptococcus pneumoniae in patients appropriate for oral therapy. (For specific dosage recommendation, see DOSAGEAND ADMINISTRATION.)

NOTE: Azithromycin should not be used in pediatric patients with pneumonia who are judged to beinappropriate for oral therapy because of moderate to severe illness or risk factors such as any of thefollowing: patients with cystic fibrosis, patients with nosocomially acquired infections, patients withknown or suspected bacteremia, patients requiring hospitalization, or patients with significantunderlying health problems that may compromise their ability to respond to their illness (includingimmunodeficiency or functional asplenia).

PharyngitisJtonsillitis caused by Streptococcus pyogenes as an alternative to first-line therapy in individuals whocannot use first-line therapy. (For specific dosage recommendations, see DOSAGE AND ADMINISTRATION.)

NOTE: Penicillin by the intramuscular route is the usual drug of choice in the treatment of Streptococcus pyogenesinfection and the prophylaxis of rheumatic fever. ZITHROMAXO is often effective in the eradication of susceptible strains ofStreptococcus pyogenes from the nasopharynx. Because some strains are resistant to ZITHROMAXO, susceptibility testsshould be performed when patients are treated with ZITHROMAX". Data establishing efficacy of azithromycin in subsequentprevention of rheumatic fever are not available.

Appropriate culture and susceptibility tests should be performed before treatment to determine the causative organismand its susceptibility to azithromycin. Therapy with ZITHROMAXO may be initiated before results of these tests are known,once the results become available, antimicrobial therapy should be adjusted accordingly.

CONTRAINDICATIONSZITHROMAX" is contraindicated in patients with known hypersensitivity to azithromycin, erythromycin, or any macrolideantibiotic.

WARNINGSSerious allergic reactions, including angioedema, anaphylaxis, and dermatologic reactions including Stevens JohnsonSyndrome and toxic epidermal necrolysis have been reported rarely in patients on azithromycin therapy. Although rare,fatalities have been reported. (See CONTRAINDICATIONS.) Despite initially successful symptomatic treatment of theallergic symptoms, when symptomatic therapy was discontinued, the allergic symptoms recurred soon thereafter in somepatients without further azithromycin exposure. These patients required prolonged periods of observation andsymptomatic treatment. The relationship of these episodes to the long tissue half-life of azithromycin and subsequentprolonged exposure to antigen is unknown at present.

If an allergic reaction occurs, the drug should be discontinued and appropriate therapy should be instituted. Physiciansshould be aware that reappearance of the allergic symptoms may occur when symptomatic therapy is discontinued.

In the treatment of pneumonia, azithromycin has only been shown to be safe and effective in the treatmnent ofcommunity-acquired pneumonia due to Chlamydia pneumoniae, Haemophilus influenzae, My/coplasmapneumoniae, or Streptococcus pneumoniae in patients appropriate for oral therapy. Azithromycin should not beused in patients with pneumonia who are judged to be inappropriate for oral therapy because of moderate tosevere illness or risk factors such as any of the following: patients with cystic fibrosis, patients withnosocomially acquired infections, patients with known or suspected bacteremia, patients requiringhospitalization, elderly or debilitated patients, or patients with significant underlying health problems that maycompromise their ability to respond to their illness (including immnunodeficiency or functional asphenia).

Pseudomembranous colitis has been reported with nearly all antibacterial agents and may range in severitytrom mild to life-threatening. Therefore, it is important to consider this diagnosis in patients who present withdiarrhea subsequent to the administration of antibacterial agents.

Treatment with antibacterial agents alters the normal flora of the colon and may permit overgrowth of clostridia. Studiesindicate that a toxin produced by Clostridium difficile is a primary cause of "antibiotic-associated colitis."

After the diagnosis of pseudomembranous colitis has been established, therapeutic measures should be initiated. Mildcases of pseudomembranous colitis usually respond to discontinuation of the drug alone. In moderate to severe cases,consideration should be given to management with fluids and electrolytes, protein supplementation, and treatment with anantibacterial drug clinically effective against Clostridium difficile colitis.

PRECAUTIONSGeneral: Because azithromycin is principally eliminated via the liver, caution should be exercised when azithromycin isadministered to patients with impaired hepatic function.

There are no data regarding azithromycin usage in patients with renal impairment; thus, caution should be exercised whenprescribing azithromycin in these patients.

The following adverse events have not been reported in clinical trials with azithromycin, an azalide; however, they havebeen reported with macrolide products: ventricular arrhythmias, including ventricular tachycardia and torsades de pointes, inindividuals with prolonged OT intervals.

There has been a spontaneous report from the post-marketing experience of a patient with previous history of arrhythmiaswho experienced torsades de pointes and subsequent myocardial infarction following a course of azithromycin therapy.Information for Patients: Patients should be cautioned to take ZITHROMAXI suspension at least one hour prior to a mealor at least two hours after a meal. This medication should not be taken with food.

Patients should also be cautioned not to take aluminum- and magnesium-containing antacids and azithromycinsimultaneously.

The patient should be directed to discontinue azithromycin immediately and contact a physician if any signs of an allergicreaction occur.Drug Interactions: Aluminum- and magnesium-containing antacids reduce the peak serum levels (rate) but not the AUC(extent) of azithromycin absorption.

Administration of cimetidine (800 mg) two hours prior to azithromycin had no effect on azithromycin absorption.Azithromycin did not affect the plasma levels or pharmacokinetics of theophylline administered as a single intravenous

dose. The effect of azithromycin on the plasma levels or pharmacokinetics of theophylline administered in multiple dosesresulting in therapeutic steady-state levels of theophylline is not known. However, concurrent use of macrolides andtheophylline has been associated with increases in the serum concentrations of theophylline. Therefore, until further dataare available, prudent medical practice dictates careful monitoring of plasma theophylline levels in patients receivingazithromycin and theophylline concomitantly.

Azithromycin did not affect the prothrombin time response to a single dose of warfarin. However, prudent medicalpractice dictates careful monitoring of prothrombin time in all patients treated with azithromycin and warfarin concomitantly.Concurrent use of macrolides and warfarin in clinical practice has been associated with increased anticoagulant effects.

The following drug interactions have not been reported in clinical trials with azithromycin; however, no specific druginteraction studies have been performed to evaluate potential drug-drug interaction. Nonetheless, they have been observedwith macrolide products. Until further data are developed regarding drug interactions when azithromycin and these drugs areused concomitantly, careful monitoring of patients is advised:

Digoxin-elevated digoxin levels.Ergotamine or dihydroergotamine-acute ergot toxicity characterized by severe peripheral vasospasm and dysesthesia.Triazolam-decrease the clearance of triazolam and thus may increase the pharmacologic effect of triazolam.Drugs metabolized by the cytochrome P450 system-elevations of serum carbamazepine, terfenadine, cyclosporine,hexobarbital, and phenytoin levels.

Laboratory Test Interactions: There are no reported laboratory test interactions.Carcinogenesis, Mutagenesis, Impairment of Fertility: Long-term studies in animals have not been performed toevaluate carcinogenic potential. Azithromycin has shown no mutagenic potential in standard laboratory tests: mouselymphoma assay, human lymphocyte clastogenic assay, and mouse bone marrow clastogenic assay. No evidence of impairedfertility due to azithromycin was found.

Pregnancy: Teratogenic Effects. Pregnancy Category R: Reproduction studies have been performed in rats and mice atdoses up to moderately maternally toxic dose levels (i.e., 200 mg/kg/day). These doses, based on a mg/m2 basis, areestimated to be 4 and 2 times, respectively, the human daily dose of 500 mg. In the animal studies, no evidence of harm tothe fetus due to azithromycin was found. There are, however, no adequate and well-controlled studies in pregnant women.Because animal reproduction studies are not always predictive of human response, azithromycin should be used duringpregnancy only if clearly needed.Nursing Mothiem: It is not known whether azithromycin is excreted in human milk. Because many drugs are excreted inhuman milk, caution should be exercised when azithromycin is administered to a nursing woman.Pediatric Use: (INDICATIONS AND USAGE.)

Acute Otitis Media (dosage regimen: 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5): Safety and effectiveness inthe treatment of children with otitis media under 6 months of age have not been established.

Community-Acquired Pneumonia (dosage regimen: 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5): Safety andeffectiveness in the treatment of children with community-acquired pneumonia under 6 months of age have not beenestablished. Safety and effectiveness for pneumonia due to Chlamydia pneumoniae and Mycoplasma pneumoniae weredocumented in pediatric clinical trials. Safety and effectiveness for pneumonia due to Haemophilus influenzae andStreptococcus pneumoniae were not documented bacteriologically in the pediatric clinical trial due to difficulty in obtainingspecimens. Use of azithromycin for these two microorganisms is supported, however, by evidence from adequate and well-controlled studies in adults.

Pharyngitis/Tonsillitis (dosage regimen: 12 mg/kg on Days 1-5): Safety and effectiveness in the treatment of children withpharyngitis/tonsillitis under 2 years of age have not been established.

Studies evaluating the use of repeated courses of therapy have not been conducted.Geriatric Use: Pharmacokinetic parameters in older volunteers (65-85 years old) were similar to those in younger volunteers(18B-40 years old) for the 5-day therapeutic regimen. Dosage adjustment does not appear to be necessary for older patientswith normal renal and hepatic function receiving treatment with this dosage regimen.

ADVERSE REACTIONSIn clinical trials, most of the reported side effects were mild to moderate in severity anid were reversible upondiscontinuation of the drug. Approximately 0.7% of the patients (adults and children) from the multiple-dose clinical trialsdiscontinued ZITHROMAX)(@ azithromycin) therapy because of treatment-related side effects. Most of the side effectsleading to discontinuation were related to the gastrointestinal tract, e.g., nausea, vomiting, diarrhea, or abdominal pain.Potentially serious side effects of angioedema and cholestatic jaundice were reported rarely.Clinical: Adults: Multiple-dose regimen: Overall, the most common side effects in adult patients receiving a multiple-doseregimen of ZITHROMAX( were related to the gastrointestinal system with diarrhea/loose stools 15%), nausea (3%), andabdominal pain (3%) being the most frequently reported.

No other side effects occurred in patients on the multiple-dose regimen of ZITHROMAX(0 with a frequency greater than1%. Side effects that occurred with a frequency of 1% or less included the following:Cardiovascular: Palpitations, chest pain.Gastrointestinal: Dyspepsia, flatulence, vomiting, melena, and cholestatic jaundice.Genitourinary: Monilia, vaginitis, and nephritis.Nervous System: Dizziness, headache, vertigo, and somnolence.General: Fatigue.Allergic: Rash, photosensitivity, and angioedema.Single 1-gram dose regimen: Overall, the most common side effects in patients receiving a single-dose regimen of1 gram of ZITHROMAX(0 were related to the gastrointestinal system and were more frequently reported than in patientsreceiving the multiple-dose regimen.

Side effects that occurred in patients on the single one-gram dosing regimen of ZITHROMAXO with a frequency of 1% orgreater included diarrhea/loose stools (7%), nausea (5%), abdominal pain (5%), vomiting (2%), dyspepsia (1%1, and vaginitis(1%).Single 2-gram dose regimen: Overall, the most common side effects in patients receiving a single 2-gram dose ofZITHROMAXI were related to the gastrointestinal system. Side effects that occurred in patients in this study with afrequency of 1% or greater included nausea (18%), diarrhea/loose stools (14%), vomiting (7%), abdominal pain (7%),vaginitis (2%), dyspepsia (1%), and dizziness (1 %). The majority of these complaints were mild in nature.Children: Multiple-dose regimens: The types of side effects in children were comparable to those seen in adults, withdifferent incidence rates for the two dosage regimens recommended in children.

Acute Otitis Media: For the recommended dosage regimen of 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5, themost frequent side effects attributed to treatment were diarrhea/loose stools (2%), abdominal pain (2%), vomiting (1%), andnausea (1 %).

Community-Acquired Pneumonia: For the recommended dosage regimen of 10 mg/kg on Day 1 followed by 5 mg/kg onDays 2-5, the most frequent side effects attributed to treatment were diarrhea/loose stools 15.8%), abdominal pain, vomiting,and nausea (1.9% each), and rash (1.6%).

Pharyngitis/tonsillitis: For the recommended dosage regimen of 12 mg/kg on Days 1-5, the most frequent side effectsattributed to treatment were diarrhea/loose stools (6%), vomiting (5%), abdominal pain (3%), nausea (2%), andheadache (1 %).

With either treatment regimen, no other side effects occurred in children treated with ZITHROMAXO with a frequency ofgreater than 1%. Side effects that occurred with a frequency of 1% or less included the following:Cardiovascular Chest pain.Gastrointestinal: Dyspepsia, constipation, anorexia, flatulence, and gastritis.Nervous System: Headache (otitis media dosage), hyperkinesia, dizziness, agitation, nervousness, insomnia.General: Fever, fatigue, malaise.Allergic: Rash.Skin and Appendages: Pruritus, urticaria.Special Senses: Conjunctivitis.Post-Marketing Experience: Adverse events reported with azithromycin during the post-marketing period in adult and/orpediatric patients for which a causal relationship may not be established include:Allergic: Arthralgia, edema, urticaria.Cardiovascular. Arrhythmias including ventricular tachycardia.Gastrointestinal: Anorexia, constipation, dyspepsia, flatulence, vomiting/diarrhea rarely resulting in dehydration.General: Asthenia, paresthesia.Genitourinary: Interstitial nephritis and acute renal failure.Livcr/Biliary: Abnormal liver function including hepatitis and cholestatic jaundice.Nervous System: Convulsions.Skin/Appendages: Rarely serious skin reactions including erythema multiforme, Stevens Johnson Syndrome, and toxicepidermal necrolysis.Special Senses: Hearing disturbances including hearing loss, deafness, and/or tinnitus, rare reports of taste disturbances.Laboratory Abnormalities: Adults: Significant abnormalities (irrespective of drug relationship) occurring during the clinicaltrials were reported as follows: with an incidence of 1-2%, elevated serum creatine phosphokinase, potassium, ALT (SGPT1,GGT, and AST (SGOT); with an incidence of less than 1%, leukopenia, neutropenia, decreased platelet count, elevated serumalkaline phosphatase, bilirubin, BUN, creatinine, blood glucose, LDH, and phosphate.

When follow-up was provided, changes in laboratory tests appeared to be reversible.In multiple-dose clinical trials involving more than 3000 patients, 3 patients discontinued therapy because of treatment-

related liver enzyme abnormalities and 1 because of a renal function abnormality.Children: Significant abnormalities (irrespective of drug relationship) occurring during clinical trials were all reported at afrequency of less than 1%, but were similar in type to the adult pattern.

DOSAGE AND ADMINISTRATION (See INDICATIONS AND USAGE.)Acute 0titis Media and Comrnunity-Acquired Pneumonia: The recommended dose of ZITHROMAX" for oral suspensionfor the treatment of children with acute otitis media and community-acquired pneumonia is 10 mg/kg as a single dose on thefirst day (not to exceed 500 mg/day) followed by 5 mg/kg on days 2 through 5 (not to exceed 250 mg/day).Pharyngitis/Tonsillitis: The recommended dose for children with pharyngitis/tonsillitis is 12 mg/kg once a day for 5 days(not to exceed 500 mg/day).ZITHROMAX" for oral suspension should be given at least I hour before or 2 hours aftor a meal.ZffHROMAX" for oral suspension should not be taken vvith food.

I More detailed professional information available on requestRevised January 1997

3A97 G U.S. Pharmaceuticals(r) 1997, Pfizer Inc ZC178

The antibiotic soluti'onwith predi"ctable results in

unpredictable pati"entsPredictable Coverage of

Key Pathogens:H influenzae, S pneumoniae, and

M4 catarrhalis 1-4

Predictable Results:Proven as effective. as

Au;grnentind9l.5,6tI

Predictable Convenience:The only 5-day, once-daily

treat'rnent

Predictably VVell Tolerated:

Only 0.3% discontinuation dueto side effects

The most frequent side effects are

diarrhea/loose stools (2%), abdominal pain (2%),vomiting (1%), and nausea (1%). ZithromaxO

(azithromycin) is contraindicated in patients withknow,n hypersensitivity to azithromycin,erythromycin, or any macrolide antibiotic.

THE PREDICTABILITY YOU NEED I N PEDIATRICS 0

THE ONLY 5-DAY,,sIONCE DIkLY THERAkPY

FR ASCUTE IOTITISMEDIAT