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Dear Academy Fellow:In order to fulfill the admission requirements of AAP Bylaws, you are requested to:Carefully review the following list of new Fellows for Academy membership; and relay yourreactions directly 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 thatacademic and pediatric credentials are not in question. Comments are requested concerningpossible legal and/or ethical situations which you might have personal knowledge.Send any comments on the following list of new Fellows to your District Chairperson.
:Michael Spaulding-Barclay, M.D.:575 Tu rn pike St ., Ste . 28*North Andover, MA 01845
:Kimberly Tresch, M. D.300 Longwood Ave.*Boston, MA 021 15
Sally Vitali, M.D.*100 Upton St.*Quincy, MA 02169
*Jeremy Warhaftig, M. D.:P.O. Box 914775 Washington St.*Norwell, MA 02061-1795
.New Hampshire
:Shanon Gruchot, M.D.23 Preserve Dr.*Londonderry, NH 03053-2588
:Uniformed Services-East
:Craig Boreman, M. D.6903 Arnold Ave.*Enon, OH 45323-1705
Nichole Glass, M.D.*2022 Columbus Cir.:Leesville, LA 71446-5112
*Megan O'Brien, M.D.:8418 Blue Stone Ct.Columbia, MD 21046
:Andrew Schiemel, M.D.USNH Yokosuka, PSC 475,*Box 1602:FPO, AP 96350
Melissa Tyree, M.D.10101 Baltimore Ave., Apt. 1 102
.College Park, MD 20740
*New York 1
:Lorraine Lemons, D.O..42 Venus Dr.Loudonville, NY 122 1 1-22 18
*Rebecca Molnar, D.O.6333 Main St.
:Williamsville, NY 14221-5800
Jennifer Meyer:24 Idlewood Dr.*West Seneca, NY 14224
:Scott Schurman, M. D.*4754 Carnoustie Ln.Manlius, NY 13104
Gary Yuille, M.D.*71 E. Squire Dr., Apt. 7:Rochester, NY 14623-1 856
*NewYork2
Ejiro Diejomaoh, M.D.*28 Coventry Ln.*Central Islip, NY 11722-2134
*Kenneth Feuerstein, M.D.:290 Pepperidge Rd..Hewlett Harbor, NY 11557-2749
:Maria Mineo, M.D.655 Belle Terre Rd., Apt. 38.Port Jefferson, NY 1 1777-1960
Jennifer Pintiliano, M.D.*491 Merrick Rd., Apt. B6:Oceanside, NY 1 1572-1402
Nikita Rangwalla, M.D.:6501 242 nd St., Apt. 1 C.Douglaston, NY 11362-1973
:Nina Simon, M.D.:9 Northgate Ct..Melville, NY 11747
*Gazyna Sosnowski, M.D.1 10-31 73rd Rd., Apt. 4D
:Forest Hills, NY 1 1375-6317
*Tracey Spinnato, M.D.:24 Oak Tree Dr..Smithtown, NY 11787
:Wenjing Tao, M.D.:57-44 226 St.Bayside, NY 1 1364
:Natasha Tellechea, M.D*380 N. Broadway, Ste. L2:Jericho, NY 1 1753-21 15
*Sudhir Vashist, M.D.:660 East 98th St., #7H.Brooklyn, NY 1 1236-1349
:Paul Wu, M. D.:4240 Bowne St., Apt. 6n.Flushing, NY 11355-2867
:Karen Yan, M.D.*70-61 260th St.:Glen Oaks Village, NY1 1004-1 110
*Qikai Yao, M.D.:7 Morning Glory Dr.Lake Grove, NY 1 1755-1 845
New York 3
*Sandra Braganza, M.D.3544 Jerome Ave.:Bronx, NY 10467
Alexandra Carey, M.D.94 Old Chester Rd.Goshen, NY 10924
Allison Cohen, M.D.310 E. 71st, Apt. 3ENew York, NY 10021-5267
Robert Criscuola, M.D.70 Gilbert St.Mon roe, NY 10950
Eva Desrosiers, M.D.79 Westview Rd.New Hempsead, NY 10977
Gary Edelstein, M.D.16 East 60 St., Ste. 410New York, NY 10022
Relpha Escalona, M.D.341 1 Wayne Ave., Apt. 8BBronx, NY 10467-2509
Adebayo Odunlami, M.D.21 Orchard St.Montrose, NY 10548-1019
Kerry Purtill, M.D.5445 Netherland Ave., Apt. F53Bronx, NY 10471
Elizabeth Roman, M.D.214 Riverside Dr., Apt. 402New York, NY 10025-6816
Catherine Skae, M.D.8 Bradl Ln.Nanuet, NY 10954-3130
Natasha Sriraman, M.D., M.P.H.16 Bronxville Glen Dr., #3-17Bronxville, NY 10708-6835
Kari Teraguchi, M.D.:281 Townline Rd..West Nyack, NY 10994-2823
:Laura Toner, M. D.:325 E. 80th St., #2C*New York, NY 10021 -0665
:Aaron Turkish, M. D..3636 Fieldston Rd.:Bronx, NY 10463-2034
*Ekaterina Vapne, M.D.:36 Crest Dr*Mahopac, NY 10541-4714
Fara Vitale, M.D.:325 East 80th St., Apt. 2C*New York, NY 10021 -0665
:Annamma Zachariah, M. D.*133 McKee St..Floral Park, NY 1 1001 -1304
Shondell Boute, M.D.:1415 Ravens Crest Dr. E*Plainsboro, NJ 08536-2496
:Kelly Bradley-Dodds, M.D.3 Cooper Plz., Ste. 200.Camden, NJ 08103
J. Burnett, M.D.*20 Colonial Ridge Dr.:Haddonfield, NJ 08033
*Bonney Cai-Luo, M.D.:15 Walnut Dr.*Pine Brook, NJ 07058-9562
:Mario Carin, M.D.79 McKinley Ave.*Dumont, NJ 07628-2815
.Ravi Chennapragada, M.D.33 Murphy Dr.:Bridgewater, NJ 08807-5683
*Saundra Creecy, M. D.:195 Stanley Ave..Moorestown, NJ 08057
0
:Valarie Wong, M.D.:28 Schindler Ct.*Neptune, NJ 07753
*Pennsylvania
*Jill Burns, M.D.:28 East Ave.Wellsboro, PA 16901-1612
:Maria Childers, M.D.838 N. Newkirk St., Unit D-2*Philadelphia, PA 19130
Michael Colli, M.D.*735 Dickeys Dr..Chambersburg, PA 17201-7249
*Deborah Gage, M.D.:7332 Princeton Pi.*Pittsburgh, PA 1521 8-2041
:Joseph Geskey, D.O.201 N. Chestnut St., Apt. 105*Palmyra, PA 17078-1348
Janelle Johnson, M.D.*544 Barrett Ave.:Haverford, PA 19041
*Kristen Kucharczuk, M.D., Ph.D.:Chop Primary Cave3550 Market St., 5th Fl.*Philadelphia, PA 19104
:Francis McNesby, M.D.3450 Ainslie St.:Philadelphia, PA 19129
*Ian Paul, M.D.:280Townhouse*Hershey, PA 17033-2382
:Richard Saladino, M.D.:3705 Fifth Ave., Ste. 1405-DW*Pittsburgh, PA 1 521 3
:Melissa Scala, M .D.Temple Children's Medical Center228 S. 4th St.*Philadelphia, PA 19106
:Deidre Schaefer, D.O.:P.O. Box 161.Riverside, PA 17868
:Sarah Sullivan, M.D.34th & Civic Center Blvd.*Philadelphia, PA 19104
Thidaporn Tanpattana, D.O.*4617 Green Garden Rd:Erie, PA 16509-1961
*Sonja Tarrago, M.D.:204 Valley Park Dr..Pittsburgh, PA 15216-1718
:Renee Turchi, M. D.1404 Jericho Rd.
.Abington, PA 19001
Christine Zawistowski, M.D.*5944 Alder St., Apt. 302*Pittsburgh, PA 15232-2068
.West Virginia
:Yusr Aboushaar, M.D.*5303 Kanawha Ave.:Charleston, WV 25304-2215
*Jon Tomei, M.D.:840 Pheasant Ct.*Harrisonburg, VA 22802-4965
Ibrahim Janahi, M.D.P.O. Box 927DohaQatar
Connecticut
Kathryn Baker, D.O.1 1 Channing Rd.Trumball, CT 0661 1
Andrew Carlson, M.D.3 Finger Ln.West Hartford, CT 06107
Dia Flanagan, M.D.105 Wall St.P.O. Box 589Madison, CT 06443-3120
Annmarie Golioto, M.D.696 Moss Farm Rd.Cheshire, CT 06410
Christine Kennedy, M.D.784 E. Main St.Branford, CT 06405
Madhu Mathur, M.D.104 River West Ettl Ln.Greenwich, CT 06831
Lisa Plotnik, M.D.79 Staffordshire CommonsWallingford, CT 06492
Jennifer Schwab, M.D.35 Fairfield Rd.West Hartford, CT 06117-1902
Charles Thompson, M.D.6 Rossie St.Mystic, CT 06355-1912
Robin Wisch, M.D.4231 Town RidgeMiddletown, CT 06457-1637
Massachusetts
Mary Bailey, M.D.Dept. of Emergency Medicine2014 Washington St.Newton, MA 02462
Diana Gilson, M.D.10 Mattakesett Cir.Sharon, MA 02067-3125
Lau ra Lee, M.D .
39 Dana St., Apt. 3Cambridge, MA 02138-4247
G regory Little, M.D .
4 Phillips Pi.Hadley, MA 01035
Heidi Moore, M.D.241 Perkins St., Apt. 1202Boston, MA 02130-4076
Andrea Pettinato, M.D.1 1 French Rd.Weston, MA 02493
Lorna Seybolt, M.D.774 Albany St., 5th Fl.Boston, MA 02118
Theresa Shanahan, M.D.18 Lakewood Rd.Natick, MA 01760-2615
:Delaware* ~~~~~~~:Kia Grundy, M.D.
*Karen Gripp, M.D. : 2604 Eleanor Ter.:707 Tau nton Rd . . U nion, NJ 07083-4924*Wilmington, DE 19803-1709.
: : ~~~~~~AlexaKemeny, M.D.:Carol Owens, M.D. .654 Springfield Ave.18 N. Walnut St. *Berkeley Hts, NJ 07922
*Milford, DE 19963:Amy Leifer, M.D.
Karen Ravin , M. D. .2 11 Allison Ct.*216 Falmouth Way *Englewood, NJ 07631-4301:Dover, DE 19904-5388 :
* * ~~~~~~~Christina Litrenta, M. D.*Vibha Sanwal, M.D. .2835 S. 7th St.:126 Anderson St. Philadelphia, PA 19148-502(*Georgetown, DE 19947
: : ~~~~~~DebraO'Brien, M.D.*District of Columbia .1206 Turf Dr.
Oceanport, NJ 07757-1026Robert Zarr, M.D.::336 1 3th St. NE :Brian O'Connor,.Washington, DC 20002-6326 .107 Tory Dr., #D: : ~~~~~~~Springfield, NJ 07081
*Maryland* * ~~~~~~PrinaPandya, M.D.
.Denyse Bailey, M.D. .227 Dickens Dr.:39978 Mary Helen Way Delran, NJ 08075*Leonard Town, MD 20650
: : ~~~~~~~Jeffrey Saperstei n, M.D.:Dana Cummings, M.D., Ph.D. :The Pediatric Group of West.3101 Rheimes Rd. *OrangeBaltimore, MD 21244 :470 Prospect Ave.
West Orange, NJ 07052Kim Kelly, M.D.*4700 Auth Pi., 2nd Fl. *Utpal Shah, M.D.*Suitland, MD 20746 .29 Hamilton Dr.
* * ~~~~~~Cranbury, NJ 08512*Jamie Perry, M.D.:8406 Ellison Rd. :Mark Sigman, M.D..Lutherville, MD 21093-4805 *32 Waterview Ct.
: : ~~~~~~Marlton, NJ 08053-3724:Rodney Williams, M.D. ::108 Luteman Rd. .Beth Singer, M.D.*Cumberland, MD 21502-2615 *50A Forest Dr.
Springfield, NJ 07081-4102:Karen Zimmer, M.D. :*120 Old Plantation Way .Nancy Tamburello, D.O.*Pikesville, MD 21208-6380 *29 Hartley Rd.
*Summit, NJ 07901-1636New Jersey
: : ~~~~~~Michele Tuck, M.D.:Jennifer Adu-Frimpong, M.D.: 298 Abbey Dr.*Dept. of Emergency *Somerset, NJ 08873-6404:One Cooper Plaza:*Camden, NJ 08103 :Erika VanPutten, M.D .
* 17 Pettit St., 1 st Fl.:Scott Bader, M.D. :Bloomfield, NJ 07003:213 N. 4th Ave., #1:*Highland Park, NJ 08904-2723 *Jennifer Weglowski, M.D.
57 Mary Ann Rd.: : ~~~~~~OakRidge, NJ 07438-8821
1 50 AAP News www.aapnews.org September 2002
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KentuckyEric Bosley, M.D.1624 Cumberland Ave.Ft Wright, KY 41011-3716
Jack Crider, M.D.387 Town Mt. Rd., Ste. 202Pikeville, KY 41501-1640
Kimberly Hudson, M.D.2153 Palomar Trace Dr.Lexington, KY 40513
Urology SpecialistCameron Schaeffer, M.D.1760 Nicholasville Rd., Ste. 601Lexington, KY 40503
Lena Snyder, M.D.2913 Raven Ct.Louisville, KY 40220-3400
North Carolina
Yemisi Adetunji, M.D.103 Gambardelli Ct.Morrisville, NC 27560-7549
D. Burton, M.D.656 Carpenter Ave.Mooresville, NC 28115-3451
Plastic Surgery SpecialistLisa David, M.D.Medical Center Blvd.Winston-Salem, NC 27157-1075
Ishwar Gopichand, M.D.504 Wythe Grove Ct.Jacksonville, NC 28546
Joshua Jakum, M.D.102 Lake Shore Ct.Goldsboro, NC 27534-7364
Traci Lamothe, M.D.6618 Summerlin Pi.Charlotte, NC 28226-7542
Eliana Perrin, M.D.216 Oxford Hills Dr.Chapel Hill, NC 27514-2129
Hope Seidel, M.D.103 Wood Sorrel WayCary, NC 27511
Tina Stewart, M.D.1321 Oberlin Rd.Raleigh, NC 27608
Gregg Talente, M.D.Secbon of Gen. Intemal Medicine600 Moye Blvd., PCMHTA 389Greenville, NC 27858
Kristi Woods, M.D.3050 Whistling Rufus Rd.Pembroke, N(f28372
South Carolina
Brian Few, M.D.4501 Old Spartanburg Rd., Ste. 9Taylors, SC 29687-4105
Douglas Halbert, M.D.1857 Bairds CoveCharleston, SC 29414-5492
Sonya Head, M.D.523 Woods BendAiken, SC 29803
Philip Manley, M.D.208 McIver St.Greenville, SC 29601-4318
William Painter, M.D.423 Sumter St., SEAiken, SC 29801-4955
Daniel Shuler, M.D.8120 Rourk St.Myrtle Beach, SC 29572-4127
Emilie Ziegler, M.D.14 Richland Medical Park, Ste. 410Columbia, SC 29203
Tennessee
Katherine Knapp, M.D.Dept./infectious Diseases332 N. LauderdaleMemphis, TN 38105-2729
Nehali Patel, M.D.332 N. Lauderdale St.,Mailstop 600Memphis, TN 38105
Kris Rehm, M.D.313 Silvercreek Ct.Franklin, TN 37069
Russell Rothman, M.D.2515 Blair Blvd.Nashville, TN 37202
Alicia Wright, M.D.3710 Garden Dr.Knoxville, TN 37918-3407
Virginia
Kyla Berreth, D.O.201 S. Main St., Ste. 2100Danville, VA 24541
Sylvie Cohen, M.D.6428 Lee Hwy.Arlington, VA 22205-1922
Karen Hamad, M.D.213 82nd St.Virginia Beach, VA 23451-1803
Jennifer M'aguire, M.D.47568 Griffith PI.Potomac Falls, VA 20165-5109
Anne McLaughlin, M.D.46 Little Walnut WayBarboursville, VA 22923-2740
Victoria Pierce, M.D.12 Whaley Ct.Sterling, VA 20165-5791
Helen Rose, M.D.238 Divot Dr.Harrisonburg, VA 22802-8779
Amy Spoto, M.D.708 Pendleton St., #BAlexandria, VA 22314-1819
Karen Swarts, M.D.1512 Split Oak Ln., Apt. LRichmond, VA 23229
Joanne Smith, M.D.5021 Peppergrass Ct.Indianapolis, IN 46254-1377
MichiganShauna Baker, M.D.Primary Care Partners4600 Breton SE, Ste. 103Grand Rapids, Ml 49508
Badrinath Kulkarni, M.D.36141 Dominion Cir.SteHing Heights, MI 48310-7456
Ehab Morsi, M.D.6636 Reuter St.Dearborn, Ml 48126-1898
Juanita Moses, M.D.4570 Summer Creek Ln., SEKentwood, Ml 49508-7500
Uptal Patel, M.D.812 Hilicrest Dr.Ann Arbor, MI 48103-3229
Shiwaji Pawar, M.D.7320 N. Alger Ste. GAlma, Ml 48801-1072
Cheryl Sobocinski, M.D.29900 Gloria St.Saint Clair Shores, MI48082-1881
Nancy Spears, D.O.28811 Lathrup Blvd.Lathrup Village, MI 48076-2840
Lisa Sprague, M.D.3729 Meadowview Dr.Dexter, Ml 48130-9209
Christopher Sweeney, M.D.4334 Hemmingway Dr.Kalamazoo, MI 49009-2470
Priscilla Woodhams, M.D.44538 27th St.Mattawan, MI 49071-9736
Ohio
Minakshi Chaudhari, M.D.727 Martin Luther King Dr. W.Apt. 914WCincinnati, OH 45220-2565
Amy Deibel, M.D.1310 Hill Road NPickerington, OH 43147
William Knobeloch, M.D.1920 Tamarack Rd.Newark, OH 43055
Kim Simpson, M.D.25200 Rockside Rd., Apt. 616Cleveland, OH 44146-1921
Margaret Stager, M.D.Adolescent Med./Dept. ofPediatrics2500 MetroHealth Dr.Cleveland, OH 44109-1998
Paul Wnek, M.D.2465 Deerfield Dr.Ashtabula, OH 44004-9235
Ontario
Ahmed Al-Kamali, M.D.1 00 F. Twyford St.Ottawa, ON KlV OV5Canada
JoAnn Harrold, M.D.67 DosseherwayOttawa, ON KlG 458Canada
Savithiri Ratnapalan, M.B.B.S.18 A. Rockwood Dr.Scarborg, ON MlM 3N1Canada
Illinois
Cathleen Ayuste, M.D.905 St. Stephens GreenOak Brook, IL 60523
Timothy Blain, M.D.Galena Health Clinic10988 Bartell Blvd.Galena, IL 61036-8216
Judith Guzman-Cottrill, D.O.2046 W. Willow St., Apt. BChicago, IL 60647-6001
Melissa Hardiek, M.D.1869 Tiffany Ave.Lincoln, IL 62656-5600
Noureen Husain, M.D.615 Hickory Grove Ct.Dunlap, IL 61525-9454
Maria Janecek, D.O.11s435 Rachael Ct.Willowbrook, IL 60527-6892
Caroline Joshi, M.D.330 N. Clinton St., Unit 303Chicago, IL 60661-1107
David Jung, M.D.224 S. Oak Park Ave., 5EOak Park, IL 60302-3233
Elizabeth Kasufkin, M.D.40 E. 9th St., #1 704Chicago, IL 60605-2138
Karen Myhre, M.D.1515 E. 5th St.Coal Valley, IL 61240-9697
Anita Pinto, M.D.11032 Martindale DrWestchester, IL 60154
Sharon Robinson, M.D.31 80 N. Lake Shore Dr., 1 1 CChicago, IL 60657
Zeynep Salih, M.D.10850 Hastings St.Westchester, IL 60154-5040
Antoinette Sallamme, M.D.4259 S. Berkeley Ave.Chicago, IL 60653
Jean Wagner, M.D.401 Meadowlark Ln.Belleville, IL 62220-2786
Iowa
Andrea White, M.D.Univ. Iowa Hosp &Clinics/Peds.200 Hawkins Dr.Iowa City, IA 52242-1083
Kansas
J. Heflin, M.D.714 N. Yale St.Wichita, KS 67208-3267
Urology SpecialistAndrew Huang, M.D.9406 Cross CreekWichita, KS 67206
Barbara White, D.O.1404 Washington Cir.Hays, KS 67601-4716
Minnesota
Barbara Bentz, M.D.620 20th Ave. NSartell, MN 56377-1996
Wendy McCabe, M.D.15 Ridge Rd.North Oaks, MN 55127
Maria Luz Cielo Mendoza-Kundel, M.D.525 Kenilworth Ave.Duluth, MN 55803-2113
Joshua Petrikin, M.D.1715 19th St., NERochester, MN 55906-4312
Thanai Pongdee, M.D.3084 Avalon Cove Ct., NWRochester, MN 55901-8497
Missouri
Sujatha Ayyagari, M.D.505 Armory St.Frededcktown, MO 63645-1337
Dawn Ebach, M.D.5643 Pernod Ave.Saint Louis, MO 63139-1505
Anthony Fangman, M.D.21103 W. 58th St.Shawnee, KS 66218-8945
Claudia Gerard, M.D.527 Willoughby PI.St Louis, MO 63119
Laura Hartman, M.D.7181 Scotland Dr.Ofallon, MO 63366
Christopher Kennedy, M.D.10418 Lee Blvd.Leawood, KS 66206
Michael Richards, M.D.960 Wood Ave.Kirkwood, MO 63122-2828
Assad Shaffiey, M.D.32200 Highway 65Sedalia, MO 65301-1066
Sarah Soden, M.D.6135 Morningside Dr.Kansas City, MO 64113-2228
Nebraska
Orthopaedics SpecialistGlen Ginsburg, M.D.10506 Burt St.Omaha, NE 68114-2062
Stephanie Neuhaus, M.D.123 S. 54th St.Omaha, NE 68132
Pat Specht, M.D.1 1 9 N. 51 st St., Ste. 2Omaha, NE 68132
South Dakota
Candice Nelson, M.D.4913 S. Quail Run Ave.Sioux Falls, SD 57108-2963
Wisconsin
Lisa Bosshard, M.D.782 Wexford WayHartland, WI 53029-2553
Jeffery Garland, M.D.4119 W. Stonefield Rd.Mequon, WI 53092
John Gordon, M.D.2825 N. Hackett Ave.Milwaukee, WI 53211
Adepero Okulaja, M.D.303 Putnam St., Apt. 203Eau Claire, WI 54703-3641
Kelli Ostermann, M.D.2816 Capricorn Dr.Green Bay, WI 54311-6459
Kimberly Seeger, M.D.1312 Hewitt St.Neenah, WI 54956
Christopher Sobczak, M.D.177 N. 89th St.Wauwatosa, WI 53226-4501
&I 1.3 tdkWAI
Alabama
Jacqueline Spaulding, M.D.51 00 Old Birmingham Hwy.Apt. 1001Tuscaloosa, AL 35404-4654
Arkansas
Jill Fussell, M.D.1 1 4 N. Woodrow St.Little Rock, AR 72205
Chadwick Rodgers, M.D.260 River Ridge Pt.Little Rock, AR 72227-1527
Tracy Rowe, M.D.550 Files Rd., Apt. L145Hot Springs, AR 71913-7264
Louisiana
Ophthalmology SpecialistHoratio Eustis, M.D.1514 Jefferson Hwy.New Orleans, LA 70121
Lydia Norton, M.D.1 1 08 Saint James St.Vacherie, LA 70090-5320
Susan Ovella, M.D.207 Highland Park Pi.Covington, LA 70433
Mitchell Rubin, M.D.1107 S. Peters St., Unit 201New Orleans, LA 70130-1759
Richard Shrouds, M.D.253 Belleauwood Blvd.Alexandria, LA 71303
Vukmir Vlasic, M.D.220 Geneva St., Apt. DMetairie, LA 70005-1455
MississippiMichelle Gibson, M.D.6554 Franklin D Roosevelt Dr.Jackson, MS 39213-2101
Annamaria Kontor, M.D.PAS Clinic823 Grand Ave.Yazoo City, MS 39194-3234
Jennifer Myers, M.D.539 C. Hwy. 80 WClinton, MS 390560000
Oklahoma
Marianne Dunlap, M.D.3148 Elmwood Ave.Oklahoma City, OK 73116-3002
Surgery SpecialistNikola Puffinbarger, M.D.P.O. Box 26307, Rm. 2B2403Oklahoma City, OK 73126
Indiana
Carol Butler, M.D.1311 Windsor Ln.Bluffton, IN 46714-3801
Elizabeth Campbell, M.D.132 Industrial Dr.Lawrenceburg, IN 47025
Tamara lorio, M.D.1444 Blackhawk Dr.Columbus, IN 47201-4024
Eugene Lin, M.D.2605 Eisenhower St.Valparaiso, IN 46383-3274
Vicki Roe, M.D.2795 Grandview Ln.Greenwood, IN 46143
S-eptember2002 wwwaapnewsorg AAP News 15,1
N E W F ICL QWSChristina Lang, M.D. Sean Sullivan, M.D.*1606 Birmingham Dr. .PSC 490, Box 7606Fort Collins, CO 80526-2380 *FPO, AP 96538-1600
Scott Merenstein, M.D. Utah.PediatricsO Cherry Creek210 University Blvd., Ste. 490 *Ryan Wilcox, M.D.*Denver, CO 80206 .10272 Forest Creek Dr.
* LindaPauliks M.D. .Pleasant Grove, UT 84062-8632
.1056 E. 19th Ave. Box 100 .Washington
.Denver, CO 80218-1007 .Jnie ae,MD
* 1955Jasmin St. *22421 NW 67th Ave.
*Denver, CO 80220-1540 *Patricia Scott, M.D.
Hawaii 2832 32nd Ave. S:Seattle, WA 98144-61 12
Adeline Winkes, M.D. :1319 Punahou St., Ste. 723*Honolulu, HI 96826*
*. Idaho * ~~~~~California 1
Greg Jones, M.D. Daniel Buehler, M.D.630 Addison West, Ste. 100 4473 Moffitt Dr.*Tinall, D 8301sig .Napa, CA 94558-1741
Nevada ~~~~~Laurie Doolittle, M. D.Nevad512 Joelle Hts.
*LopaShh, M.D. *Petaluma, CA 94952-20122541 Citrus Garden CircleHenderson Jim Hall, M. D.
.Las Vegas, NV 89009 :7373 West Ln.' . ~~~Stockton, CA 95210
Ne: excMing-Yi Kreidl, M.D.
.Marina Armendariz, M.D. : 56 Citation Dr.1167 Warm Springs Ln. *Los Altos, CA 94024Las Cruces, NM 8801 1-4011
: ' ~~~~~~~Urology Specialist*RhodaChaez, MD. :Chi Keung Lee, M.D.
2325 Chapman Ln., NW .2999 Regent St., Ste. 612Albuquerque, NM 87104-3242 *Berkeley, CA 94705-21 21
*LandyCok, M.D. :Claudia Quijano, M.D.LandyCruzAlt,RM.D.o 63 700 Parnassus Ave ., #1 712
Taos,Alt
87571Bo .63 San Francisco, CA 94122-2629
* Debra Tang, M.D . . Shelia Smith, M.D .
1 1600 Academy Rd., NE #2322 .3400 Richmond Pkwy., Apt. 4024. Albuquerque, NM 871 11-7552 *Richmond, CA 94806-5207
*Uniformed Services-West *Laura Sorgea, M.D.
* LynlleBamah,M.D. Folsom, CA 95630-6117*10925 Breckenridge Dr.*San Diego, CA 92131 -6121 *Shannon Udovic-Constant, M.D.
.Kaiser San FranciscoMerrilee Cox, M.D.* 2200 O' Farrell St.
. Psc80,.O. Bx 1061 .San Francisco, CA 941 15*Apo, AP 96367-0011 i
' ~~~~~~Hilary Wells, M.D.Kathleen Fisher, M.D. .1724 37th St.
. 355 H. Ave. Sacramento, CA 95816-6708:Coronado, CA 92118 * Lanshin Yang, M.D.Brian Hall, M.D. 3200 Kearney St* 7939Creekrail *Fremont, CA 94538
:San Antonio, TX 78250 i' . ~~~~California 2
*Thomas Kolon, M.D. . Alicia Bazzano, M.D.Div.ofUrology: 11520 Rochester Ave, #303
*34th St. & Civic Ctr. Blvd. .LsAgls A90570Philadelphia, PA 19104
: ' ~ ~~~~~~Paulina De Quiroz, M.D.* WadLarsn, M D . 56 Rithmond H ill1000 Allison Dr., Apt. 245 LauaNge,C927* vaavile,CA 568-492 iMeredith Glickman, M.D.
*ChristopherMoon, M.D :5410Wembly Ave.2621.Maylowe;Way .Agoura Hills, CA 91377-4735
Boise, ID 83709: ' ~~~~~~BoKim, M.D.
.Meredith Moore, M.D. .3180 Sawtelle Blvd., #206105 Dana Pointe. Los Angeles, CA 90066-1454Niceville, FL 32578-3715
' ~~~~James Moynihan, D.O.
*USNH Yokosuka .Redlands, CA 92373-6879
.FPO, AP 96350-1370 . 3hmaPrk,MD: * : ~~~~~~Apt.C418
* . ~~~~~~Marina Del Rey, CA 90292-5583
Texas
Samina Akhtar, M.D.3004 Los Milagros St.Mission, TX 78572
Jeffrey Alvis, M.D.3701 El Dorado, Ste. AMcKinney, TX 75070
Rene Amaya, M.D.1504 Peachtree Ct.Pearland, TX 77581-5897
Gabriella Cardone Richard, M.D.3070 Bellaire Ranch Dr.,Apt. 632Fort Worth, TX 76109-1825
Kristina Deeter, M.D.21410 Encino AshSan Antonio, TX 78259-2650
Christa Filak, M.D.3614 Parkshire Dr.Pearland, TX 77584-9451
Otto Kieffer, M.D.291 1 La Branch St.Houston, TX 77004
Rebecca Olvera, M.D.2323 N. Field St., #1014Dallas, TX 75201-1794
Gerardo Orfanos, M.D.P.O. Box 18904302 S. Sugar Rd., #205Edenburg, TX 78540
Dyan Spinnato, M.D.4114 Medical Dr., Apt. 15101San Antonio, TX 78229
Sujata Tipnis, M.D.1842 W. Alabama St., # 1Houston, TX 77098-2602
Nikki Wacker, M.D.909 Frostwood Dr., Ste. 126Houston, TX 77024-231 1
Leslie Wells, M.D.5901 Saratoga CoveAustin, TX 78746-1100
Corinne West, D.O.105 Nasoni Trl.Georgetown, TX 78628-6600
Alaska
Joy Neyhart, D.O.140 Behrends Ave.Juneau, AK 99801-1457
Arizona
Valli Annamalai, M.D.Dept. of Pediatrics.2601 E. RooseveltnPhoenix, AZ7 8008%^
Joy Schaffer, M.D.6633 E. Greenway Pkwy., #2013Scottsdale, AZ 85254-2027
Alexahdru Tanase, M.D.1223 E. Sunset Dr.Casa Grande, AZ 85222-2940
Colorado
Maureen Anderson, M. D.1550 Platte St.~, Apt. 450ADenver, CO 80202
Kimberly Broxterman, M.D.8501 E. Alameda Ave., #938Denver, CO 80230
Brandon Davison-Tracy, M.D.13650 E. Mississippi, #110Aurora, CO 80012
:Puerto Rico
*Luis Rodriguez, M.D.:555 Cuevillas St., Apt. 4-A:San Juan, PR 00907-2534
*_112#:DISTRICT I
Eileen M. Ouellette, M.D., J.D.Pediatric Neurology*North Shore Children's:Hospital57 Highland Ave.*Salem, MA 01970-2197:e-mail: eouelletteOaap.org
DISTRICT II
.Robert M. Corwin, M.D.:Medical Director - MedBest251 Salina Meadows Pkwy*Suite 100:Syracuse, NY 13212-4572*e-mail: rcorwinEaap.org
*DISTRICT III
:Alan E. Kohrt, M.D.Medical Director/Children's Health Net.Children's Hospital of:Philadelphia34th and Civic Center Blvd.*Philadelphia, PA 19104-4399:e-mail: akohrtOaap.org
DISTRICT IV
*David T. Tayloe, Jr, M.D.:2706 Medical Office PlaceGoldsboro, NC 27534-9460*e-mail: sewardsQaap.org
:DISTRICT V
Stanford A. Singer, M.D .
36700 Woodward Ave.:Suite 300Bloomfield Hills, MI 48304-0908
*e-mail: ssingerOaap.org
:DISTRICT VI
*Kathryn Piziali Nichol, M.D.1314 Morrison St.:Madison, WI 53703-3812*e-mail: knicholOaap.org
:DISTRICT Vll
Gary Q. Peck, M.D.*Office of Public Health325 Loyola Avenue - Suite 513:New Orleans, LA 7011 2-1 829*e-mail: gpeckEaap.org
DISTRICT Vlill
Jon R. Almquist, M.D.*Virginia Mason MedicalCenter:Department of Pediatrics33501 First Way SouthFederal Way, WA 98003-6208
*e-mail: jalmquistOaap.org
DISTRICT IX
Burton F. Willis, M.D.:9900 TalbertSuite 201Fountain Valley,CA 92708-5153
*e-mail: bwillisQaap.org
DISTRICT X
*Charles Linder, M.D.:Medical College of Georgia1120 15th St*Rm HF1117Augusta, GA 30912-0004.e-mail: clinderOaap.org
:Tanya Remer, M.D.5448 Las Virgenes Rd., #301Calabasas, CA 91302-1080
:Pornchai Tirakitsoontorn, M.D.3701 Overland Ave., # 290.Los Angeles, CA 90034-6344
:Loanne Tran, M. D.305 N. Marguerita Ave., #21Alahambra, CA 91 801-2 163
:James Warren, M.D.703 W. 1 1 th St.*Claremont,CA 91711-3749
:Mojdeh Zafaranchi, M.D.22701 DeKalb Dr.*Calabasas,CA 91302-4805
:California 3
*Ryan Corrow, M.D.:4700 Spring St., Ste. 203:La Mesa, CA 91941
*Shari Jacobs, M.D.10649 Canyon Lake Dr.San Diego, CA 921 31-1212
*Yi Hui Liu, M.D.3293 Rancho FamosaCarlsbad, CA 92009-2244
*Maria Ramos, M.D.9977 Javelin Way*Spring Valley, CA 91977
*Valerie Rubin, M.D.1023 Beacon Bay Rd.
:Carlsbad, CA 92009-3405
*California 4
:Evelyn Artz, M.D.177 AvocadoEncinitas, CA 92024
:Maria Garberoglio, M. D.Coleman Pavillion
* 11175 Campus St., Rm. 11121Loma Linda, CA 92350-1700
Sandra Murray, M. D.4 Flores
.Foothill Ranch, CA 92610-1816
Jennifer Sluder, M.D..386 Burnside Dr., #12JLos Angles, CA 900360000
Stephanie Vann, M. D.*2 PalamedesIrvine, CA 92604-1930
:Maria Gaviria-Tobon, M.D .
13873 SW 102 Ter.*Miami, FL 331 86-7303
:Pamela Grier, M. D.1500 E. Johnson Ave., #213Pensacola, FL 32514-4671
:Carlos Handal-Saca, M.D.1840 W. 49th St., Ste. 607Hialeah, FL 33012-2950
:Julie Kammer, M.D.8831 Canopy Oaks Dr.
*Jacksonville, FL 32256-9092
:Ruben Lopez, M.D.692 Breckenridge Dr.*Port Orange, FL 32127-7517
:Jana Myers, M.D.13860 SW 78th PI.*Miami, FL 33158-1118
:Mona Patel, M.D .
1755 E. Hwy. 50*Clermont, FL 34711
:Lisa Ramey, D.O.2887 Sand Bluff Cove*Oviedo, FL 32765-7371
:Austria Rodriguez, M. D.3866 Waterview Loop.Winter Park, FL 32792-6382
:Georgia Rodriguez, M .D.1 1066 Harbour Yacht Ct.*Unit 202Fort Myers, FL 33908
Ann-Margaret Villar, D.O.*16351 NW 84th Ct.Miami Lakes, FL 33016-6674
Jose Zayas, D.O.10021 SW 1 08th St.Miami, FL 33176-3541
*.Georgia
Anne Bever, M.D.:115 Lembeth Ct.Alpharetta, GA 30004-8554
.Kevin Colt'on, M.D.:405 Emory Dr., NE*Atlanta,GA30307-1148
Maribel DeHoyos, M.D.:2800 Hwy. 138, Ste. CConyers, GA 30094
*Jamila Raza, M.D.:1 1 Laurel Oak Ct..Savannah, GA 31405
Jennifer Richter, M.D.:2810 Springwood Dr.*Augusta, GA 30909-2330
Andrea Shane, M.D.:757 Houston Mill Rd., NE, Apt. 8*Atlanta, GA 30329-4240
*Amar Singh, M.D.:Parkway Medical Clinic425 Forest Pkwy., Ste. 207*Forest Park, GA 30297
:Benjamin Spitalnick, M.D.4600 Waters Ave., Ste. 100*Savannah, GA 31404-6702
:Karen Timberlake, M.D.330 Turner McCall Blvd.,
*Ste. 205*Rome, GA 30165-5630
Tibisay Villalobos, M.D.*4619 Forest Lakes Dr.*Tifton, GA 31794-2231
Alabama
Mary Doyle, M.D.3401 Independence Dr.P.O. Box 595525~Birmingham, AL 35259
Vera Guevara-Egorshin, M.D.1004 Lake Shore Cir.Hoover, AL 35244-4133
David Parmer, M.D.1213 13th Ave., SEDecatur, AL 35601-4306
Florida
:Giraldo Cepeda, M.D.:9650 Fairwood Ct.-.Port St. Lucie, FL 34986-3250
*Wilson Cornett, M.D.:3202 Lori Ln.*New Port Richey, FL 34655
Lamia El-Mahdawy,. M.D.:4421 SW 85 Way*Gainesville, FL 32608-4132
I
152 AAP News. www.aapnewsorg September 2002
Announcing the Upgraded and UpdatedGuide to Careers
in Chfid and Family Policyv,rN.%igpa.uiIhnois.edu/cfp
The mission ofthe web site is to centralizeinformation about careers in child and familypolicy. We cover the diversity of such careers,which can be pursued across private, non-profit,academic, and govemment settings and can beginwith forn-ial trairing or through experientiallearning in intemships, fellowships, volunteerpositions, or jobs at all life stages. You may usethe site either to post infonnation about programsand openings or to search for such opportunities.
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ZllHROMAX"Iazihhomycin for oral suspension)
BRIEFSUMMARYINDICA;llONS AND USAGE
ZITHROMAX)(° azithromycin) is indicated for the treatment of patients with mild to moderate inifections (pneumonia:see WARNINGS) caLused by suscepibe strains of the designated microorganisms in the specific conditions listedbelowv. Areomned doae.drtons of theraimv and applicable patient Dooulations vary among these ifctions. please see DOAEAIDAMIITAON for specific dosing recommendations,
Acute otitismewdi caused byHae,mophilus influenzae,Moraxella catarrhalis,or Streptococcuspneumoniae.(For specific dosage recommendation, seebDOSAGEAND ADMINISTRATION.)
Community-acquired pneumonia due to Chlamydia pneumoniae, Haemophilus influenzae, Mycoplasmapneumoniaeor Streptococcusoneumoniaie in patients appropriate for oral therapy. (For specific dosage recom-mendation, see DOSAGI N ADMINISTRATION.)
NOTE: Akzihhmmycin should not be used in pediatric patients with pneumonia who are judged to beinppropritehrUoralheay becaus of moderate to severe illness or risk factors such asanyfoftfiehowing: patients with cystic fibross, padients with nosmoonul acquired infec-
tions, patients wit known or wpctd bacterem'a, ptents requiring hospitlzin orpadientswWh siqnificant undeying health pmpmsth ma_y comprms their ability torsodto their Illness (includin immun e2oncyv orfncbonal apei)
Phrvgti/on0it caused by Streptococcuspyogenresas an alfternative to first-lmI hraviindividuas vhcantuse first-line therapy. (For specific dosage recommendation, seo WSGEAND ADMINIS-TRATION.)
NO1TE: Penicillin bvthe intramuscular route is the usual drug of choice in the treatment of Streptococcus py-genes inifecto In the prophylaxis of rheumatic fever. ZITHROMAX(@ is often effective in the eradication of'sus'cep.-tible strains of Streptococcuspyoge,nesfrorn the nasopharynx. Because some strains are resistant to ZITHROMAX,susceptibility tests should be pe rmoredwhen patients are treated vvth ZITHROMAX'. Data establishing efficacy ofazithromycin in subsequent prevention of rheumatic fever are not available.
Appropriate culture and susceptibility tests should be performed before treatment to determine the causativeorganism and its susceptibility to azithromycin. Therapy vvith ZITHROMAX" may be initiated before results of thesetests are knowvn; once the results become available, antimicrobial therapy should be adjusted accordingly.
CONTPAINDICATIONSZITHROMAX" is contraindicated in patients wvith knovvn hypersensitivity to azithromycin, erythromycin or anymacrolide antibiotic.
WARNINGSSerious allergic reactions, including angioedema, anaphylaxis, and dermatologic reactions including StevensJono ydrome and toxic epidermal necrolysis have been repJorted rarelv In patients on iazithromycin therapy.Althughrar, ftaliieshav ben reported. (See CONTRAINDICAnlONS.| Despite initilally successful sympto-matcteatentof he llegicsymptoms, wvhen symptomatic therapy was dscontinued, the allergic symptomsrecuredsoontheeaftr msome patients vnhoutfurdher azithromei exposure. These patients required
prolonged periods of observton and symptomatic treatment. The relationshipo these episodes to the long tissuehalf-life of azithromycin and subsequent prolonged exposure to antigen is unkov at present
If an allergic reaction occurs, the drug should be discontinued ana appropriate therapy should be instituted.Physicians should be awvare that reappearance of the allergic syrmptoms may occur wvhen symptomatic therapy isdiscontinued.
In the treaftnent of pnemonia, aithronricin has only been showfn to be.safe and effective in thetreatinent of community,-acquired pneumonia due to Chhwnyia Ituxw HsenmWq,o s in&ua e,ytcophasmapneuMmonx,or Sgtococcuspemn nstnsaprriefo oral therapy.
Aznthromycin should not be used In painswt nuoi h r ugdto be inappropriatefororal therapy because of moderate to sev ilns orrsk toms suc as any of the foll-ounnp: patientwith cystic 1ibrosis, patients with nosocomially acquired infections, patet with known orsuspectedbactrmois, patient reqiring hospitalizaton, sldeily or debililated panents, or patients with signffi-cnt undedying helhpoem that may compromise ther ability to respond to ther illness (includingimmunodenic'ec rfntna asplm)
Pseudomellmbanoscoii has been reported with nearly all antibactensl agents and may range insevenYfomd t lie theatnirTlfore, it is importantto considerthis diagnosis in patients
who~ ~~~~~Speetihdahasbeuntothe administration of antibacterial agents.Treamenvfth atibcteia agents alters the nommal flora of the colon and may permit overgrowvth of clostridia.
Studies indicate 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 initi-
ated. Mild cases of pseuaomembranous colitis usually respond to discontinuation of the drug alone.In moderate to severe cases, consideration should be given to management vvth fluids and electrolytes, Protein sup-plementation, and treatment vvth an antibacterial drug clinmicaillyeffective against Clostridium difficile colitis.
PR lAU OSGenmra: Because azithromycin is principally eliminated via the liver, caution should be exercised when azithromycinis administered to patients with impaired hepatic function.
There are no data regarding azithromycin usage in patients vvth renal impairment; thus, caution should be exer-cised when prescribing azithromycin in these patients.
The following adverse events have been reported with macrolide products: ventricular arrhythmias, includingventriculartachycardia and torsades de,oointes, in individuals with prolonged QT intervals.
There has been a spontaneous report from the post-marketing experience of a patient vvth previous history ofarrythiaswhoexpriecedtorsades depointesand subsequent myocardial infarction fbllowing a course of
Infrmaionfo Paiens: itromaxe oral suspension can be taken with or without food.Patients should also be cautioned not to take aluminum- and magnesium-containing antacids and azithromycin
simultaneously.The patient should be directed to discontinue azithromycin immediately and contact a physician if any signs of an
allergic reaction occur.Drugbrahcd Aluminum- and magnesium-contining antacids reduce fth pezak serum concenraaions Irate} but notthe ALIC (extenX of aii mycin absorpio.Administration of cimetidine (800 mngf) two hours pfior to azithromycin had no effect on azithromycin absorption.
Azithromycin did not affect the plasma concentrations or pharmacokinetics of theophyline administerea as a sin-gle intravenous dose.The effect of azithromycin on the plasma concentrations or pharmacokinetics of theophyllineadministered in multiple doses resulting in terapeutic steady-state concentrations of theophylline is not known.However, concurrent use of macrolides and theophylline has Deen associated with increases In the serum concen-trations of theophylline. Therefore, until further data are available, prudent medical practice dictates careful monitor-ing of plasma theophylline concentrations ~in patients receiving azithromycin and theophylline concomitantly.
Azithromycin dia not affect the prothrombin time response to a single dose of warrarin. However, prudent med-ical practice dictates careful monitoring of prothrombin time in all patients treated with azthromycin and warfarinconcomitantly. Concurrent use of macrolides and warfafin in clinical practice has been associated with increasedanticoagulant effects.
The following drug interactions have not been reported in clinical trials with azithromycin, however, no specificdrug interaction studies have been perfommed to evaluate potential drug-drug interaction. Nonetheless, they havebeen observed vvth macrolide products. Until further data are developed regarding drug interactions whenaAihoyi n hs rg r used concomitantly, careful monitoring of patients is advised:
Digoin-eevatd dioxinconcntrations.Ergoaminordihyroerotaine-acute ergot toxicity characterized by severe peripheral vasospasm and dyses-
Triazolam-decrease the clearance of triazolam and thus may increase the pharmacologic effect of triazolam.Drugs metabolized bythe cytochrome P450 system-elevations of serum carbarzpne,teferadine,cydospofinehexobarbitl, and pherfboin concentrations.LaosoyTest Intemacfons: There are no reported laboratory test interactions.Cacnonsis, Mutbenesis, Impoinnon of Fertliqty Long-term studies in animals have not been performed
toevaluate carcinogenic potential. Azithromycin has shovvn no mutagenic potential in standard laboratory tests:mous Iymhomassy, hmanIympocyt clstogenic assay, and mouse Done marrowv clastDgenic assay.No evi-
Prfianc Teatoeni Effcts Prgnacy ateqry : Rproucton studies have been performed in rats andmiceat ose upto odertel maemaly oxicdos cocenratons (i.e., 200 mgAkg/day). These doses, based
on a mg/m2basis, are estimated to be 4 and 2 times, respectively, the human daily dose of 500 mg. In the animalstudies, no evidence of harm to the fetus due to azithromycin was found.There are, however, no aaequate and well-controlled studies in pregnant wvomen. Because animal reproduction studies are not always predictive of humanresponse, azithromycin should be used during pregnancy only if clearly neededNursu' Mothems It is not known whether azithromycin is excreted In human milk. Because many drugs areexcretel in human milk, caution should be exercised wnen azithromycin is administered to a nursing wvoman.Pedkmtic Use: (See INDICATIONS AND USAGE ANDDOSAGEAND ADMINISTRA11ION.)
Acute Otitis Media (total dosage regimen: 30mg/kg, see DOSAGE AND ADMINISTRATIONk: Safety andeffectiveness in the treatmnent of children vvith otitis media under 6 months of age have not been established.
Communkt-Acquired Pneumonia (dosage regimen: 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5):Safety and effctiveness in the treatment of children vith community-acquired pneumonia under 6 months ofage have not been established. Safety and effectiveness for pneumonia due to ChlamydiapneumoniaeandMRycoplasmapneumoniae were documented in pediatric clinical trials. Safety and effectiveness for pneumoniadue to Haemophilus infiuenzaeand Streptococcuspneumoniaewere not documented bacteriologically in thepediatric clinical trial due to difficuIt in obtaining specimens. Use of azithromycin for these two microorganismsIs supported, however, by evidence from adequate andwell-controlled studies in adults.
PhayngtisTonilltisIdoageregimen: 12 mra/g on Days 1-5): Safety and effectiveness in the treatment of chil-dre vihpaygtstniltsudr 2 years of acge have not been established.
Sudeswalatig d uofreetd courss ofdpy have not been conducted.GcriticUsc Phamackinticparameters in older voluinteers W6-5 years old) were similar to those in younger
volunteers (18 40 years old) for the 5-day therapeutic regimen. Dosage adjustment does not appear to be necessaryfor older patients with normal renal and hepatic function receiving treatment with this dosage regimen.
ADVERSE REACTtONSIn clinical trials, most of the reported side effects were mild to moderate in severity and were reversible upon dis-continuation of the drug. PoWifnially serious side effects of anaioedema and cholestatic jaundice were reportedrarel.Ap rox imately 0.7% ofthe patients (adults and children) from the 5-day multiple-dose clinical trials discontin-ued YlHhOMmAX" (azithromyn)in therapy because of treatrnent-related side effects, In clinical trials in children given30 mg/kg, either as a sinqle dose or over 3 das discontinuation from the trials due to treatrnent-related side effectswas approximately 1%. (S1ee WSAGE AND ADINISTRATION.) Most of the side effects leading to discontinua-tion were related to the gastrointestinal tract, e.g., nausea, vomiting, diarrhea, or abdominal pain.Cliniical:Children: Single and Mu/tiple-dose regim7ens, The types of side effects in children were comparable to those seenin adults, vith different incidence ratesfor the dosage regimens recommended in children.Acute Otitis Media: For the recommended total dosage regimen of 30 mg/kg, the most frequent side effects (A1 %)attributed to treatment were diarrhea, abdorninal pain, vomiting, nausea and rash. (See DOSAGEAND ADMINIS-TRATION.) The incidence, based on dosing regimen, is described in the table below:
Dosage Diarrhea, % Abdominal Vomiting,% Nausea, % Rash, %-Regimen Pain, %1-day 43% 14% 49% 1.0% 1.0%3-day 2.6% 1J7% 2.3% 0OA% 0.6%5-day 1.8% 1.2% 1.1% 0.5% 0A%
Community-Acquired Pneumonia: For the recommended dosage regimen of 10 mg/kg on Day 1 followed by 5 mg/kgonays2-5th mot fequntside effects attributed to treatment were diarrhea/loose stoois (5.8%i, abdominalpainvoitig, nd ausa (.9%each), and rash (1.6%).
Phayngtistonilltis Fo te recommeinded dosaae regimen of 12 ma/k on Days 1-5, the most frequentrshd ONfct attibtdheadratrne.Vnt were diarrhea (5.X%), vomiting (5.6%6), abdominal pain (34%), nausea (2%),
With anzof the treatment regimens, no other treatment-related side effects occurred in children treated vithZITHROM 'AXswth afrequencvygreate;rthanl1%. Side effects that occurredwith afrequency ofl1%or less includedthe fbllovving:Cardiovascular. Chest pain.Gastritstnl Dyspepsia, constipation, anorexia, enteritis, flatulence, gastritis, jaundice, loose stools and oralmoniliasis.
HeaoocadLvmphatiic:Anemia and leukopenia.NevuS m eadache (otitis media dosage), hyperkinesia, dizziness, agitation, nervousness and insomnia.
Gensfal: Fvrfaeedema, fatigue, fungal infetion, malaise and pain.Aleic: Rash and allergic reaction.
Respirty Coug"h increased, pharyngitis, pleural effusion and rhinitis.Skin and Appendages: Eczema, fungal dermatitis, pruritus, sweating, urticaria and vesiculobullous rash.Special Senses: Conjunctivitis.Post-Marketng Experience: Adverse events reported vith azithromycin during the post-marketing period inadult and/oir pediatric patients for which a causal relationship may not be established include:Allerlic: Arthralgia, edema, urticaria and angioedema.Cafdiovascular. Arrhythmias including ventficular tachycardia and hypotension.Gastrointsdnal: Anorexia, constipatior, dspepsia, flatulence, vomiting/diarrhea rarely resulting in dehydration,pseudomembranous colitis, pancreatitis, or-al candidiasis and rare reports of tongue discoloratior.General: Asthenia, paresthesia, fatigue, malaise and anaphylaxis (rarely fatal).Genitourinary- Interstitial nephritis and acute renal failure and vaginitis.
Hematooietc:Thrombcytopnia.Live/Biiar Abnmma lier fncton nclding hepatitis and cholestatic jaundice, as well as rare cases of hepatic
necrsisandhepticfaiure soe ofwihhave resulted in death.NervusSstn:Convlsios, dizziness/vertigo, headache, somnolence, hyperactivity, nervousness, agitation and
Pyhanc: Aggressive reaction and anxiety.SnApndages: Pruritus, rarely serious skin reactions including erythema multiforme, Stevens-Johnson syn-
drm anwoic epidermal necrolysis.Special Senses: Hearing disturbances including hearing loss, deafness and/ortinnitus and rare reports of tasteperversioftLab y Abnormalities:Children:One,Three and Rve Day Regimenlaboratory data collected from cornparative clinical trials employing two 3-day regimens (30 mg/kg or 60 mg/kg individed doses over 3 days), or twvo 5-ay regimens (30 mg/kg or 60 mg/kg in divided doses over 5 aays) were simi-lar for regimens of azithromycin and all comparators combined, vfth most clinically significant laboratory abnor-malities occurring at incidences ofl1-5%. Laboratorv data for patients receiving 30 mgA as asi2qe dose werecollected in one single center trial. In that trial, an absolute neutrophil count betwveenl 501&1500 cells/mm' wasobserved inl10/64 patients receiving 30mg/kg as asingle dose, 9/62 patients receivina 30 m/gA given over 3days, and 8/63 comparator patients. No patient had an absolute neutrophil count <50Rcells/rmm.SeDSGANDADMINISTRATION)In multiple-dose clinical trials irwolving ap fximately 4700 pediatric patients, no patients discontinued therapybecause of treatment-related laborator abnormalities.
DOSAGEAND ADMINISTRATION (See INDICArONS AND USAGE)Zithromc-e for oral sus ension can be taken vfth or without food.Acute Otitis Media: The recommended dose of ZITHROMAX" ibr oral suspension for the treatmnent of childrenvvith acute otitis media is 30 mg/kg given as a single dose orlO0 m/kg once dailyfor 3 days orlO0 mg/kg as a singledose on the first day followed by 5 mg/kg/day on bay 2 through 5. The safety ot re-dosing azithromycin in childrenwvho vomit after receiving 30 mg/kg as a sing,le doseNsas not been established. In clinical studies involving 487pabients with acute otitis media given a single 30 mg/g dose of azithromycin, eight patients who vomited vithin 30minutes of dosing were re-dosed at the same total rose.Comnmunity-Acquired Pneumonia: The recomnmended dose of ZITHROMAX" for oral suspension for the treatmentof children with community-acquired pneumonia is 10 mg/kg as a single dose on the first day followved by 5 mg/kg onDays2thou'gh 5.-PhrSitiF/lopWnUill The recomrnended dose of ZITHROMAX°O for children with pharyngitis/tonsillitis is12 mg/kg onice daily for 5 days.For moredetailedprductinfornnation please feferto the fullprescribinginfoffnationorcall 1 89003477
Rev.9 January2002
a completely modern 172-bed, publicly-owned acute care facility, which has just com-pleted a major $15 million remodel andexpansion. The Coos-Bay/North Bend areahas a combined population of 30,000 and adrawing area of another 60,000. If you areinterested in this opportunity, please fax or e-mail a copy of your CV to: Daniel E. Walsh,Administrator, Bay Clinic, LLP, 1750 ThompsonRd., Coos Bay, Oregon 97420. (541) 266-4400, fax (541) 267-6905, e-mail:dwalsh?harborside.com .
MIDWEST
The Joy of Living . .. it's ours to nurture at ParkNicollet. Bring the joy of living to others andyourself while applying your skills at ParkNicollet. Currently, we have an excellent prac-tice opportunity: Pediatrics - Park NicolletClinic, Minneapolis, MN. One of the largestmulti-specialty clinics in the United States isseeking a BC/BE pediatrician to join estab-lished practice in desirable southwestern sub-urban Minneapolis. Practice includes
managing the acute and chronic care ofpatients along with well-child care visits.Excellent schools and an abundance of year-round recreational and cultural activities makethe Twin Cities a wonderful place to work andlive. Send CV to Jenny Bredeson, ClinicianRecruitment, Park Nicollet Clinic, 3800 ParkNicollet Blvd. - 7N, Minneapolis, MN 55416;fax (952) 993-0212; e-mail bredejOparkni-collet.com. For more information, call JennyBredeson (952) 993-2804 or (866) 874-3812.AA/EOE. www.parknicollet.com.
NATIONAL
Seeking BC/BE Neonatologists as Directors orStaff to join our team providing 24-hour in-house coverage for Level 11 nurseries in NJ, NY,PA, MD and DE. Moonlighting positions alsoavailable. Appropriate state licensure required.Please fax your CV to Donna @ (856)988-0367, e-mail to dfitzgeraldOnapsnetwork.comor call (856) 988-9563.
SOUTHEAST
Kentucky: Pediatrician needed immediatelyi n H PSA location . J -1,H1lB, PermanentResident or U.S. Citizen all welcome.Computer literacy preferred. Send CV to AAP8, P.O. Box 149, Bel Air, MD 21014.
ANDERSON, SC -Well-established privatepractice seeks associate; senior partner retiring.BC/BE, energetic; must have excellent training;communication skills. Primarily OP practice;easy call, Stable office staff. Salary year one;partnership track. One hospital; 587- beds, NFP.Low managed care. Foothills of northwesternSouth Carolina; on 1-85 and Lake Hartwell; 30miles from Greenville (MSA 200,000). RecentALL AMERICA CITY; 2 hours to Charlotte orAtlanta; less to Asheville and mountain areas.CLEMSON UNIVERSITY, 16 miles.... drive toCharleston by lunch. Sherry Chastain, MedicalStaff Development, Anderson Area MedicalCenter, schastaiEanmed.com; (800) 226-3103 Does not qualify for J-1 waiver. NORECRUITERS.
NORTHWEST
Beautiful Oregon Coast-The Bay Clinic is seek-ing a BC/BE Pediatrician to replace a physicianwho is retiring at the end of 2002. Bay Clinicis a 20-physician multi-specialty group with afive member Pediatric department that wasestablished in 1957. The location is on thebeautiful Southern Oregon Coast in an areawith abundant recreational opportunities forquality family living. It is a predominantly fee-for-service with in-house laboratory and x-raydepartments for efficient and convenient serv-ice to our patients. Emergency call rotation forthe community includes a total of eightPediatricians. The year's salary is guaranteed,with an incentive bonus. All office overheads,including malpractice, are covered. Partnershipis available at the end of the first year, with nobuy-in. Bay Area Hospital is located directlyacross the street and is the main referral cen-ter for the entire Southern Oregon Coast. It is
AmericanAcademy ofPediatrics
Augmerntn (amoxicillin/clavulanate potassium) is a registered trademark of GlaxDSmithfiKine.R_cres:11. Data on file. Pfizer Inc., NewYork, WY. Block SLArnieta A. Seibel M, McLinn S, Eppes SC. Single dose azithmrmycin (30 mg/kg) in acute obtits media. Paper preswnted at lnfecbous Diseases Society ofAmerica 38Annual Meeing; September7-10, 2000; New Orleans, La.Abstractl74.
4m t S. PhrmctclZX112067 CB 2002 Pfizer Inc. All rights reserved.
September2002 wwwaapnews.org AAPNews 1 55
