N EVV F EL LO WVS

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 mem-bership, and relay yourreactions directly to your District Chairperson, whose name and address is at the end of this

list. In submitting these names of bo'ard-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.

:Siv Fasci, M.D.:139 Chestnut Ave., #3*Jamaica Plain, MA 02130

:Amy Fleischman, M.D.25 Alton Court, #3.Brookline, MA 021 15

Michael Freedman, M.D..477 Southwick Rd..Westfield, MA 01085

*Lisa Hassler, M.D.:7 Stockton St..Boylston,MA01505-2003

*Jocelyn Healey, M.D.:82 Bay St.*Hull, MA 02045

:Peter Kang, M.D.:2 Wellington St., #8*Boston, MA 021 18-3011

:Jonathan Megerian, M.D.*2 Walnut St..Burlington,MA01803-3218

Patricia Mullins, M.D..12 Hawthorne St.:Malden, MA 02148-3808

.Stephen Silberman, M.D.:Town Center Pediatrics:162 Cordaville Rd.P.O. Box 296*South Borough, MA 01772

*Alcy Torres, M.D.:44 Linden Sq.*Wellesley, MA 02482

Jonathan Winickoff, M.D.50 Staniford St., Ste. #901.Boston, MA 021 14-2517

.Rhode Island

Daniel Dickstein, M.D..27 Burlington St., #2.Providence, RI 02906-3609

.Malini Gillen, M.D.:1 Ea,gle Nest Dr.LincoTn, RI 02865-3728

*Lisa Keswick, M.D.:Barrington Peds*334 D. County Rd.*Barrington, RI 02806

James Tsai, M.D.*15 Cedar Pond Dr., Apt. 12:Warwick, RI 02886-0830

Uniformed Services-*East Chapter*John Ancona, M.D.:85 Baker Ave..Groton, CT 06340-3920

rkCristian rCanzoniero, AA.D.:1 M.D.OS/SGOMF.Langley AFB, VA 23665

*Jeffrey Cleary, M.D.:1006\ternon Dr.*Jacksonville, NC 28540

:Rachel Gorwitz, M.D.1600 Clifton Rd., NE, MS C-23

*Atlanta, GA 30333

:Jennifer Hunt, M.D.*PSC 118,Box431*APO,AE09137-0400

:Todd Kelley, M.D.:3171 Nightingale Way.Beavercreek,OH45431-4312

:Eduardo Sinaguinan, M.D.:18Coach Ln.*Upper Saddle River, NJ 07458

:Misty Zelk, M.D.*1012Beechwood Ave.:Little Rock, AR 72205-1906

*V\ermont

:Stephen Wood, M.D.:252 Orchard Hill*Pittsford,VT05763

.NewYork 1

:Cynthia Bliss, M.D.60 Woodsmeadow Ln.*Rochester,NY14623-2746

:Bina Fenn, M.D.*20Journey Ln.:Glenrnont, NY 12077-3502

Cynthia Fox, M.D..401 Clayton Manor Dr. S:Apt.4Liverpool, NY 13088-3333

*Bryan Holland, M.D.:30 Jane Lacey Dr., Apt. W*Endicott,NY13760-3734

:AndreeJacobs-Perkins, M.D.4 Sugiarbush Ln.

.Pitts Ord, NY 14534-3522

Nalini Lopes, M.D.*10 Broadview Ln.:Red Hook, NY 12571-4101

.Anita Moonjely, M.D.:7 Grayhill Ct.:Liverpool, NY 13090-3919

*BarbaraMorisseau, M.D.:4240 Peach Blossom Ave..Syracuse, NY 13215-9560

*Christopher Springer, M.D.:5 Honorine Dr.Depew,NY14043-4132

:New York 2

.Ramappa Chandra, M.D.:270 First St., Apt. 2C.Mineola, NY 11501-2358

:MingChen,M.D.:78 Florence Dr.Syosset, NY 1 1791-4817

:Stephen Grello, D.O..260 Maple St.

Islipi, NY 11751-4702

Judith Hugh-Goffe, M.D..176 Mitchell St.*West Orange, NJ 07052

Rina Jaffe, M.D.:61 West 62nd St., #10OA.New York, NY 10023

*Christine Maroon, M.D.:1025 Reynolds Rd., Apt. S7.Johnson City, NY 13790-3108

:Carolyn Milana, M.D.17 Ronald Ln.

*Syosset, NY 1 1791-3518

*Tulika Narain, M.D..155 E. Woodside Ave.Patchogue, NY 1 1772

MariyaOdnopozova, M.D.:476 Cedarhurst Ave..Cedarhurst, NY 11516

:DianaVolpert, M.D.2173 Poe Ave.*East Meadow, NY 11554-5165

.NewYork 3

:Yasminl Bhathena, M.D.:132 Mulford Rd.*Middletown,NY10940-6136

:Jennifer Canter, M.D..140 ProspectAve.,:Penthouse 12*Hackensack, NJ 07601

*Salwa Chawich, M.D.:5614 Riverdale Ave., 3rd Fl..Bronx, NY 10471-2106

*Gina Costello, M.D.:44 EastEnd Ave., Apt.2E*New York,NY 10028-7977

:Jennifer Davis, M.D.27 Oakwood Blvd.*Poughkeepsie, NY 12603-41 1 1

:Manuel DeCastro, M.D.*95 Grasslands Rd., Box #570:Valhalla, NY 10595

*David Fagan, M.D.:180 W. Olive St.Long Beach, NY 1 1561-3314

*Jason Felson, M.D.:70 Gilbert St.*Monroe, NY 10950

.Maida Galvez, M.D.:Mount Sinai Hospital.One Eustave L Levy Pi.:New York, NY 10029

Michele Gorlitsky, M.D.8 Fox Ct.

*Suffern, NY 10901-4141

.Andrew Hart, M.D.:120W. 109th St., Apt. 4-W.New York, NY 10025-2560

:Rohan Jayasena, M.D.:910 Circle Dr., Apt. A6.Sidney, NY 13838-1646

:Marjorie Joseph, M.D.*515W. 59th St., Apt.4K:New York, NY 10019-1047

Rolando Mallari, M.D.1119 Lavender Ln.*Absecon, NJ 08201-4319

*Mirjana Nesin, M.D.:525 E. 68th St., N506*.New York, NY 10021-4870

*Emily Puntillo, M.D.:286 Hall Ave.*West Hamson, NY 10604-2222

:Philippe Similon, M.D.1111 Park Avenue*New York, NY 10128

:Tiffany Megary, M.D.1 Orchard Dr.Wilmington, DE 19803-2539

:Samuel Garber, M.D.:420 Society Hi*Cherry Hill, NJ 08003-2410

*Debra Harmady, M.D.:529 Highway 35.Red Bank, NJ07712

:Maria Henwood-Storto, D.O.:2213 Berwyn Ct..Voorhees, NJ 08043-4666

:Steven Materetsky, M.D.:81 DoraAve..Waldwick, NJ 07463-2234

:Maria Micale, D.O.77Marc Rd.West Long Branch, NJ*07764-1113

:Beata Puri, M.D..4100 Rachel Ter., Apt. 10:Pine Brook, NJ 07058

:Rebecca Reed, D.O.101 -1 Van Buren Rd..Voorhees, NJ 08043

:Alex Sarkodie, M.D.1407 Morris Ave., Apt. #307*Union, NJ 07083-3322

:Alicja Uczkowska, M.D.411 LanzaAve.*Garfield, NJ 07026-2401

.Pennsylvania,Jennifer Ammons, M.D.:130 S. Fairmont St., Apt. 3.Pittsburgh, PA 15206

*Michael Devon, M.D.:534 Cynwyd Cir.*.Bala Cynwyd, PA 19004

:Susan Frangiskakis, M.D.:3705 Fifth Ave. D3224MPB.Pittsburgh, PA 15213

*John Gallagher, M.D.:321 Ascot Ln..Bridgewater, NJ 08807-3017

Jaya Ganesh, M.D.:275 S. Bryn Mawr Ave.:Apt. H12*Bryn Mawr, PA 19010-4202

:Alicia Hartung, D.O.:1820 President Dr.*Glenshaw, PA 151 16-2152

:W. Michael Haught, M.D.:160 North Pointe Blvd.Ste. 1 10*Lancaster, PA 17601 -4134

:Jennifer Hubbell, M.D..500 University Dr. MCH085:RPO. Box 850*Hershey, PA 17033-2373

.Shakthi Kumar, M.D.:166 Canterbury Turn*Lancaster, PA 17601

*Alisa LoSasso, M.D.:1015 Edgewood Rd.Havertown, PA19083

.James Mortimer, C).O.:103 Camelot Dr.:Butler, PA 16001

David Munson, M.D.*Children's Hospital of:Philadeplhia34th Civic Center Blvd.*Philadelphia, PA 19104

:DistrictofColumbia

Thomas Bender, M.D.:390 Taylor St. NE, #U22Washington, DC 20017-1571

:Jennifer Kaplan, M.D.:3212 Klingle Rd., NW*Washington, DC 20008-3403

:Maryland

Sanjay Aggarwal, M.D.:328 Stonecastle AvReisterstown, MD 21136-3512

:Michael Beardsley, M.D.:688 Charingworth Ct.*Westminster, MD 21158-3034

Renette BelIizaire M.D .

9005 Rouen Ln.:Potomac, MD 20854-3131

Louise Chamberlain, M.D.14200 London Ln.

.Rockville, MD 20853-2026

Suzie Chang, M.D.:6240 Plaited ReedColumbia, MD 21044-3712

Peter Chung, M.D.:230Washington Hts;. Med. Ctr.*Westminster, MD 21157-5633

:Maria Dawis, M.D.:7402 43rd Ave., Apt. 2CElmhurst, NY 11373

:Fulgencio DelCastillo, M.D.35 Straw Hut Rd., #31D*Owings Mills, MD 21 117-2827

Elizabeth Fox, M.D.*5480 Wisconsin Ave ., #728*ChevyChase, MD20815-3530

Anwar Hasan, M.D.:21614 Liberty St., #213.Lexington Park, MD20653-1365

:Victoria Lee, M.D.: 11801 RockvilIle Pike 701*Rockville, MD 20852

Judit Sivo, M.D.:31 Orchard Way S*Potomac, MD 20854-6129

.NewJersey

.Jennifer Buccigrossi, M.D.:1 Oxford Ct.Medford, NJ 08055-3322

:LydiaChiang, M.D).:948 Belle Ave.Teaneck, NJ 07666-2535

:LisaChou, M.D.*416 Northam Dr.:NorthBrunswick, NJ08902-4238

:Nancy Cozzini, M.D.140 Williamson Ave.

.Bloomfield, NJ 07003-5139

Sharon Filler, M.D.:2 Fairway Ct.*.Scotch Plains, NJ 07076-3001

.Swati Gandhi, M.D.:580 Knollwood Rd..Ridgewood, NJ 07450-4700

Katherine Noble, M.D.Ark Towers West1-3-40 Roppongi #1101Minato-kuTokyo 1060032Japan

Connecticut

Anton Alerte, M.D.15 Prospect St., Unit 3New Britain, CT 06102

Ena Chow, M.D.Pediatric Association ofConn., P.C.160 Robbins St.Waterbury, CT 06708

Laura Dunphy, M.D.41 Pickering Ln.Wethersfield, CT 06109-3680

Eduardo Figueroa, M.D.101 N. Racebrook Rd.Woodbridge, cT 06525-1407

Carolina Gapud, M.D.2201 Autumn Chase115W. Rd.Ellington, CT 06029-3763

Jennifer Hausladen, M.D.1066 Hartford TurnpikeNorth Haven, cr 06473-3038

Jason Perkel, M.D.P.O. Box 986Middlebury, CT 06762-0986

Charles Schubert, M.D.35 Plants Dam Rd.East Lyme, CT 06333-1428

Ramindra Walia, M.D.47 Town St.Norwich, CT 06360

Maine

JenniferJewell, M.D.69 Wall St.Portland, ME 04103-2314

Massachusetts

Kate Ackerman, M.D.Div. of Emergency Medicine300 Longwood Ave.Boston, MA 02115-5724

Nancy Akbari, M.D.357 Harvard St., Apt. 1Cambridge, MA02138-4222

Rebeca Alvarez Altalef, M.D.127 Carolin-a Ave.Jamaica Plain, MA 02130

Leila Bodie, M.D.21 Bay View Ave.Plymouth, MA 02360-2920

FemandoCatalina, M.D., Ph.D.100 Hospital Rd., Ste. 4Leminster, MA 01453

Atima Delaney, M.D.Div. of Emer Medicine300 Longwood Ave.Boston, MA 02115

Jill Diamond, M.D.4 Longfellow Pi., #310Boston, MA02114-2838

August 2002 wwwaspnowsorg AAP News 95

NEWV FELLONVSjC-E

Theresa Gutierrez, M.D. Ontario11526 Pennet RunFort Wayne, IN 46845 :Uma Athale, M.D.

:Dept. of PediatricsCourtney Kleber, M.D. *1200 Main St. West203W. County Rd.,925 N :HSC3-N27DSeymour, IN 47274-7540 :Hamilton, ON L8S4J9

CanadaTed Kremer, M.D.*4710 Shadow Pointe Dr. : _ __Indianapolis, IN 46254-3741*

Cardiology&Cardiac *IlniSurgery Specialist:Mark Rodefeld, M.D. * Paul Aschinberg, M.D.545arnhllD., Eerso 354 Forest Rd.54HarnilDr,1meso Hinsdale, IL 60521-3718

Indianapolis, IN 46202:Jason Canel, M.D.

Michigan *845 15th St.:Wilmette, IL 60091

Yousuf Benyamin, M.D.704 Lamplighter Dr., Apt. 2.LarDvi,M .Troy, Ml 48083-1573 10 Phillip Rd., Ste. 11 1' ~~~~~~:Vernon Hills, IL 60061

Sandra Bliss, M.D.*3561 Burbank Dr. Christine Duong, M.D.Ann Arbor, MI 48105 :1233 W. Kelly St.

' * Arl~~~ington Heights, IL 60004-8432

1531 Avondale Ave. . Deborah Ehrlich, M.D.AnnArborl 48103 :1015 S. Lincoln Ave.AnAro,M.80 Park Ridge, IL 60068-4514

Julie Fecht, M.D.:470 E. Edgeworthe Dr., SE . Tracy Koogler, M.D.Grand Rapids, MI 49546 . 5 E. 14th PI., #805

' . ~~Chicago, IL 60605-2864David Hoffman, D.O. SehneLtr,MD3929 Jonquil Ln. : 680ephareniLut.e, Ap.D.1Okemos, MI 48864-3731 *60N re t,At 1

' : ~~~Chicago,IL60622-6081Craig Lash, M.D.4416 Dorian Dr. Tram Luu, M.D.Blomfildill, M 4801-91

Apt. 228AmyMihail, .D. .Oak Park, IL 60301-1343

1904 Valleyview Dr. :Ann Arbor, MI 48105-9362 :Nicole Mahoney, M.D.

2 ' : ~~~~~639W. Armitage, #2Nicholas Newman, D.O. *Chicago, IL 60614-4431926 S. Washington Ave.

FatMyr,DOHolad MI4922510 White Oak Ln.

Getachew Teshome, M.D. *Lse L65236200 Riverfront Dr., Apt. 9EDetroit, Ml 48226-4598 .Jeanmarie Schied, M.D.

*416 Lampwick Ct.JennierVaZee, .D. *Naperville, IL 60563-1315

477 Fairfield Ave., NW,Grand Rapids, Ml 49504 *Frank Serrecchia, D.O.

' ~~~1232 Clearview Ct.JamiWichet,M.D. *Buffalo Grove, IL 60089-6855

,5015 Mohawk PalSvri,MDOkemos, MI 48864 *Pu eei,MD' ' : ~~~~~700S. Wood St., 7204A

>Ohio * ~~~~Chicago, IL 60612Ohio~~~~~~~~~~~Deborah Boyd, M.D. :Dov Shapiro, M.D.3333 Burnet Ave. :2729 W. Greenleaf Ave.' CicinatiOH 522-309 *Chicago, IL 60645-3013Cicnai OH42933

Michele Hensley, M.D. : Karen Wilson, M.D.' 1350RidgeRd. .1030 N. Clark, Ste. 400

Lancaster, OH 43130-1361 *Ciao L66056

,Mohammad Javaid, M.D. *Iw:547 Plyleys Ln., Apt. #67 JilAeane,MDChillicothe, OH 45601-2043 :Jl lxne,MD

: ~ ~ ~ ~~~~~~':121 Keokuk St.Chandy John, M.D. *Iowa City, IA 52240-3306Div. of Ped. Infectious

Diseases : ~~Mustafa El-Dadah, M.D.'D1100Eases Ae M 00 3901 Woodland Ave., Apt. 5:Cleveland, OH 44106-1736 :WsDsMie,I' ' : ~~~~50266-1872:Keith Krist, M.D.*:1700 Swailes Rd. Katherine GrandsaertaTroy,OH 45373-9565 * S00073rdSt., Ste.11'Jennifer Olsen, M.D. *DeMis,A015787 Sylvia Dr..Dublin, OH 43016

*Louisiana

:Elizabeth Alonso-Rubiano, M.D.*10524 Claybrook Dr.*Baton Rouge, LA 70809

*Michael Brumund, M.D.:16017 Hickory Knoll Ave.Baton Rouge, LA 70810

Bernard Ferrer, M.D.:222 Autumn Dr.*.Houma, LA 70360-5921

:Michael Heller, M.D.:429 Gordere Ave.*Harvey, LA 70058

:Jennifer Hogan, M.D.2345 O'Neal Ln.*Baton Rouge, LA 70816

:Ernest Kelly, M.D.*P.O. Box 5352:Pineville, LA71361

Dean A. Leone, M.D.:120 Meadowcrest St., #160:Gretna,LA70056-5278

.Mississippi

:Dana Carbo, M.D.1712 Reserve Dr.Clinton, MS 39056-5666

Margaret McKen'na, M.D.*901 Belmont St..Vicksburg,MS39180-3829

.Richard Strahan, M.D.:Medical Arts Clinic -

:Pediatrics2024 1 5th St.:5th Floor North*Meridian, MS 39301

*Ohio

:Dennis Bartholomew, M.D.*700 Childrens Dr. ED552*Columbus, OH 43205

*Oklahoma

:Michael Milligan, D.O.*2801 N. SaratogaP.O. Box 849.Shawnee,OK74802-0849

.Texas

:Neurological Surgery.Specialist:Patricia Aronin, M.D.:1215 Red River St., Ste. 201*Austin,TX78701

:Elena Baber, M.D.

*Corpus Christi, TX78413-5027

:Surgery Specialist*Martin Blakely, M.D.:6431 Fannin St., MSB 5.254*Houston, TX 77030-1 501

Kathleen Butler, M.D.:3908 Post Oak Rd..Tyler, TX 75701-9331

:Douglas Cogdill, M.D.:305 W. Rusk*Tyler,TX75701-1514

IDeborah Davis, M.D.*2522 Gramercy St.:Houston, TX 77030-3108

:Jeffrey Day, M.D.*3617 Montecito Dr.:Denton, TX 76205-5505

Eric Noel, M.D.810 Pleasant Hill Rd.Wallingford, PA 19086

Nancy Parker, M.D.254 Fountain St.Apt. 1 Back DoorPhiladelphia, PA 19128-4508

Adam Ratner, M.D.223 Hampden Ave.Narberth, PA 19072-1909

Timothy Richer, M.D.1730 Spruce St., #1 bPhiladelphia, PA 19103-6761

Sue Tao, M.D.25 White Marsh Ln.Lansdale, PA 19446-1234

Auren Weinberg, M.D.1536 Candace Ln.Yardley, PA 19067-4372

West Virginia

Kimberly James, M.D.220 Jordyn PI.Charleston, VWV 25302-4452

Amy Kisner, M.D.101 50th St., SECharleston, VWV 25304-2005-

PI I1 'A1411:|Kentucky

Cara Kiligore, M.D.504 Bauer Ave.Louisville, KY 40207-3734

Virginia Lilienthal, M.D.636 Oaks Country Club Rd.Murray, KY 42071-4643

North Carolina

Marty Baker, M.D.708 Camaross Dr.Charlotte, NC 28270-0398

Brian Bowman, M.D.1021 W. Williams St., Ste. 105Apex, NC 27502

Mark Bucy, M.D.411 Ashton Cir.Eden, NC 27288

Christoph Diasio, M.D.195 W. Illinois Ave.Southern Pines, NC 28387

Rebecca Keiffer, M.D.9 Topridge Ct.Greensboro, NC 27407

Antoinette Laskey, M.D.4822 Butler St.Durham, NC 27707-5288

Amy Scurlock, M.D.203 Village Crossing Dr.Chapel Hill, NC 27517-7558

South Carolina

Bryan Burnett, M.D.10706 Marlboro Ave.P.O. Box 1302Barnwell, SC 29812

Ashley Clark, M.D.15 Tilden Ct.Simpsonville, SC 29680-6740

Theodore DuBose, M.D.3909 Linbrook Dr.Columbia, SC 29204-4400

Lisa Herron, M.D.2867 Stratford Rd.Columbia, SC 29204-2345

TennesseeE

Suzanne Berman, M.D.293 Highland Sq.Crossville, TN 38555-5105

Elizabeth Dykstra, M.D.31025th Ave. N, Ste. 201Nashville, TN 37203

Roy Friddell, M.D.1 50 N Crest Rd.Chattanooga, TN 37404

Paul Hain, M.D.2916 Snowden RdNashville, TN 37204-3348

Hussein Kammona, M.D.1608 Persimmon Ln.Knoxville, TN 37922-7126

Stacey Williams, M.D.6920 Stone Creek Rd.Nashville, TN 37221-3321

Virginia

Ernette Benson-Foulk, M.D.4745 Longmont Rd.Virginia Beach, VA 23456-5017

Suzanne Brixey, M.D.5187 James Wharf Rd.Exmore, VA 23350-3547

Megan Farley, M.D.14288 Dogwood Ln.Belle Haven, VA 23306-1622

Kathryn Glass, M.D.1029 Assembly Dr.Virginia Beach, VA 23454

Laura Goradia, M.D.3617 Milbury Run St.Richmond, VA 23233-7670

Phillip Gordon, M.D., Ph.D.Pediatric Dept.P.O. Box 800386Chadottesville, VA 22908-0386

Christopher McGonnell, M.D.Pediatric Assoc. ofAlexandria4601 B. Pinecrest OfficePark Dr.Alexandria, VA 22312

Gina Maxey, M.D.3910 Dixie Ridge Run Rd.Penn Laird, VA 22846

Alka Patel, M.D.637D Kingborough Sq.Chesapeake,VA23320-4907

Pnhert Sullivan, AA.D.1212 McConviile Rd.Lynchburg, VA 24503

Stephanie Sullivan, M.D.1212 McConville Rd.Lynchburg, VA 24502-4536

Indiana

'Matthew Abrams, M.D.699 West Dr., RR 208

*Indianapolis, IN 46202-5128

Anisha Amin, M.D.*2229 Teakwood Cir., Apt. B*Highland, IN 46322

Kansas

Christopher Bird, M.D.700 W. Central, Ste. 210El Dorado, KS 67042-2184

Kristin Davis, M.D.3417 W. 74th St.Prairie Vlg, KS 66208

Kirsten Evans, M.D.5918 Longleaf Dr.Lawrence, KS 66049-5802

Jeffrey Yannette, M.D.10827W. 102nd St.Ovefland Parl<, KS 66212-3408

Minnesota

Lizzie Giangreco, M.D.1620 5th Ave. SERochester, MN 55904-5201

Andrew Grove, M.D.506 Elaine Ave.Shoreview, MN 55126

Michael Hobbs, M.D.4317 Morningside Rd.Edina, MN 55416

Ray Kundel, M.D.1000 E. 1 st St., #204Duluth, MN 55805

Missouri

Leisha Andersen, M.D.1558 Glenn Brooke Woods Cir.Ballwin, MO 63021

Sara Ayers, M.D.456 N. New Ballas Rd.St. Louis, MO 63141

Andrew Cronyn, M.D.3130 Shenandoah Ave.Saint Louis, MO 63104-1756

Peter Putnam, M.D.4115 Blow St.Saint Louis, MO 63116-2708

Richard Temofeew, M.D.5102 S. OldOakWaySpringfield, MO 65810

Nipa Yochim, M.D.2440 Copperwood Dr.Lebanon, MO 65536-5975

Nebraska

Rochelle Caruso, M.D.17120 Cedar Plaza, #1 POmaha, NE 68130

Wisconsin

Jonathon Forncrook, D.O.1000 N. Oak Ave., 1 F2Marshfield, WI 54449Q-57034

Brenda Grass, M.D.N6342 Reilly Dr.Fond Du Lac, WI 54935-9681

Robert Grass, M.D.N6342 Reilly Dr.Fond Du Lac, WI 54935-9681

Patti Hamernik, M.D.6671 Whitnall Edge Rd.Franklin, WI 53132-1291

Michelle Mielke, M.D.915 E. Summit Ave.Oconomowoc, WI 53066-3921

96 AAPNews www.aapnews.org August2002

NEVV- FELDDVVS

Mariada George, M.D.1500 Coulter, Ste. #1Amarillo, TX 79106

Jessica Gonzalez, M.D.5807 Cliff WalkSan Antonio, TX 78250-3923

Nathaniel Kho, M.D.Dept. of Neurology2222 Wellborn St.Dallas, TX 75219

Elizabeth Knapp, M.D.6835 Austin Center Blvd.Austion, TX 78731

Rana Kronfol, M.D.2250 Holly Hall St., Apt. 287Houston, TX 77054-3974

Van Lam, M.D.1735 Keller Springs, Ste. 100Carrollton, TX 75006-2962

Leah Matthews, M.D.3247 Pebble Beach Ln.Pearland, TX 77584-7122

Jorge Mendoza-Ramirez, M.D.10309 Mayfield Rd.Houston, TX 77043

Jo-Ann Nesiama, M.D.7705 Yoakum Cir.Corpus Christi, TX 78413

Maria Nguyen, M.D.19100 Glenwest Dr.Apt. 1312Fdendswood, TX 77546-7878

Carmen Pdeto-Jimenez, M.D.Dept. of Peds.4800 Alberta Ave.El Paso, TX 79905

Judith Reva, D.O.3900 White Settlement Rd.Apt. 96Fort Worth, TX 76107-7821

Haydee Rimer, M.D.5440 Hitcher BendAustin, TX 78749-4229

Muzzian Siddiqi, M.D.7500 Kirby Dr., Apt. 1627Houston, TX 77030

Michael Sprehe, M.D.7171 Buffalo SpeedwayApt. 726Houston, TX 77025-1424

Emily Todd, M.D.4130 Ridgepoint Dr.Pearland, TX 77584-5955

Michael Wagnon, D.O.1214 Ashford Dr.San Angelo, TX 76901-5308

David Weisoly, D.O.3707 Paigewood Dr.Peariand, TX 77584-9461

Kristin Wilke, M.D.19238 Stone HueSan Antonio, TX 78258

Alaska

Tamara Cohn, M.D.900 Snohomish Ave., Unit 3Wasilia, AK 99654

Arizona

Rene Bartos, M.D.7788 E. Entrada de VentanaTucson, AZ 85750-6420

Michelle DeWolf, D.O.4200 N. 82nd St., Unit 1006Scottsdale, AZ 85251-2770

: Jeffrey Foti, M.D.: Phoenix Childrens Hospital-: Outpatient Bldg.1919 E. Thomas Rd.Phoenix, AZ 85016

Subir Mitra, M.D.15650 N. Black CanyonHwy., Ste. 1 00Phoenix, AZ 85053

Theresa Murdock, M.D.5870 W. OrchidChandler, AZ 85226-1254

British Columbia

Vugranam Venkatesh, M.D.14555 32rd Ave.Surrey, BC V4A 1 Z9Canada

Colorado

Neurology SpecialistRobert Clyman, M.D.1825 Marion St.Denver, CO 80218-1122

Janani Tuladhar, M.D.5650 W. Ninth Ave.Lakewood, CO 80214

New Mexico

Rebecca Moran, M.D.1315 Richmond Dr. NEAJbuquerque, NM 87106-1808

OregonSurgery SpecialistDavid Bliss, M.D.501 N. Graham, Ste. 300Portland, OR 97227

Uniformed Services-West

Catherine Riley, M.D.P.O. Box 12982Everett, WA 98206

Utah

Ann Anderson-Berry, M.D.943 S. Lake St.Salt Lake City, UT 84105-1215

Kristin Lynch, M.D.1988 S. 800 ESalt Lake City, UT 84105-3138

WashingtonMatthew Allen, M.D.2104 N. 82nd St.Seaftle, WA 98104

1ALamA r-%ri+r%m AA n

9516 165th St Ct. EPuyallup, WA 98375

James Chattra, M.D.8301 1 61 st Ave., NE, Ste. 202Redmond, WA 98052

Kerry Drain, M.D.5317 S. Palouse Hwy., #240Spokane, WA 99223

Mirna Ramos-Diaz, M.D.3392 S. Olden Way Rd.Toppenish, WA 98948

Charles Rapp, M.D.8614 E. Mill Plain Blvd., #400Vancouver, WA 98664

John Schreuder, M.D.2553 76th Ave., SEAAprrpr Idind WA QAnW_?7;;A

WyomingJennifer Peterson, M.D1308 West Fourth St.Gillefte, WY 82716

California 1

Wendy Cerny, M.D.4065 Eagles NestAuburn, CA 95603-5922

Emily Chu, M.D.278 Durand WayPalo Alto, CA 94304-2403

Christopher Dvorak, M.D.100 N. Whisman Rd.Apt. 1924Mountain View, CA 94043-4926

Tracey Evans-Ramsey, M.D.310 Newbury St.Hercules, CA 94547

Guenter Hofstadier, M.D.3742 Gainsborough Dr.Concord, CA 94518-1645

Christine Hung, M.D.1295 E. Hillsdale Blvd.Foster City, CA 94404

Lin Jiang, M.D.474 Park Place Dr.Petahima, CA 94954-6651

Allison Murphy, M.D.38 Lorelei Ln.Menlo Park, CA 94025

Elizabeth Nuti, M.D.2 Eustice Ave.Oakland, CA 94618-2107

Christine Stabile, M.D.837 Lakeview WayRedwood City, CA 94062

Stephen Swanson, M.D.6508 Lucas Ave.Oakland, CA 94611-2916

California 2

Gary Anderson, M.D.3524 Torrance Blvd., #102Torrance, CA 90503

Jennifer Cohen, M.D.562 University Dr., Apt. 3Menlo Park, CA 94025-5158

Carlo De Antonio, M.D.4106 1/2 Brunswick Ave.Los Angeles, CA 90039-1322

: Elizabeth Dyer, M.D.: 5321 Camino Bosquecillo: San Clemente. CA 92673-7116

Marc Dyer, M.D.5321 Camino BosquecilloSan Clemente, CA 92673-7116

Danelle Fisher, M.D.8725 La Tijera BlvdLos Angeles, CA 90045

Weiwen Guo, M.D.,Ph.D.19720 Kilfinan St.Northridge, CA 91326-4039

James Henry, M.D.725 N. Sweetzer Ave.Apt. 101Los Angeles, CA 90069-5461

Kenneth Huang, M.D.1414 Oxford Rd.

Eric Lau, M.D.2127 E. 2nd St., Apt. 1Long Beach, CA 90803-5115

Mary Laxa, M.D.1601 Barton Rd., Apt. 3908Redlands, CA 92373

Sean Mc Ghee, M.D.862 Moraga Dr.Los Angeles, CA 90049-1632

Nusrat Qazi, M.D.15 Hunter St.Irvine, CA 92620

Nathalie Rubin, M.D.4016 Napoli PI.Moorp.r., CA 93021

Michelle Shuffett, M.D.809 S. Bundy Dr., Apt. 1 1 0Los Angeles, CA 90049-5240

AJexander VanSpeybroeck, M.D.3712 Evans St., Apt. #6Los Angeles, CA 90027

Jeannie Visootsak, M.D.P.O. Box 360946Los Angeles, CA 90036

Califomia 3

Surgery Specialist: Mary Hil'nker, M.D., Ph.D.: San Diego Medical Ctr.: 200 W. Arbor Dr., MC 8401San Diego, CA 92103-9000

Patty Vitale, M.D.2939-C Cowley WaySan Diego, CA 92117-6827

California 4

Shakha Gillin, M.D.16802 Barclay Ln.Huntington Beach, CA 92649

Alabama

Lee Ann Beisher, M.D.224 Poinciana Dr.Birmingham, AL 35209

Lamenda Blakeney, M.D.8160 Seaton PI.Montgomery, AL 36116

Neurological SurgerySpecialistJeffrey Blount, M.D.1600 7th Ave. S.Ste. ACC 400Birmingham, AL 35233

Regina Hardin, M.D.308 S. 5th St., Apt. FGadsden, AL 35901-4248

David Lozano, M.D.1 1 02 Wild Forest Dr.Birmingham, AL 35209-6755

Rama Mukkamala, M.D.4154 Carmichael Rd.Montgomery, AL 36117

Adrene Sellers-Scott, M.D.95 Indian Creed Rd.Apt. 321Huntsville, AL 35806

Tina Simpson, M.D.5065 Melrose WayHoover, AL 35226-5026

Florida

Emily Aguilar, M.D.846 Lake Howell Rd.Maitland, FL 32751

Noel Alonso, M.D.1707 NW 81 st WayPlantation, FL 33322

Marc Arel, M.D.3385 Franklin Ave., Apt. BMiami, FL 33133-5850

Stephen Beebe, M.D.261 0 NW 38th St.Gainesville, FL 32605

Aileen Gomez-Torres, M.D.4185 W. Lake Mary Blvd.#1 64Lake Mary, FL 32746-2401

Daniel Green, M.D.970 NE 74th St.Miami, FL 33138-5236

David Helft, M.D.5200 Windchester Dr.Titusville, FL 32780-5933

Darlene Lee, M.D.1500 Bay Rd., #1 164Miami Beach, FL 33139

Jennifer Miller, M.D.5316 SW 83 Ter,Gainesville, FL 32608

Angela Mintz, M.D.2201 Inverness Dr.Pensacola, FL 32503-5028

Abimbola Odusan a MD8189-C Thames B(aBoca Raton, FL 33433

Priscilla Perez, M.D.5086 NW 1 1 4th PathMiami, FL 33178-3518

Luis Perez-Burnes, M.D.7770 NW 161 st Ter.Miami Lakes, FL 33016-6678

Stacy Pierson, M.D.1 1 850 9th St. N, #8208St. Petersburg, FL 33716

Sheila Shah, M.D.6055 Forest Green Rd.Pensacola, FL 32505-1851

Karyn Wiest, M.D.P.O. Box 372069Satellite Beach, FL329370000

GeorgiaHeather Butler, M.D.1339 Wingfield St.

o Aiiemc+n r.A 10GOA-A77A

Nand Lal Chainani, M.D.200 S. Cherry St.Ocilla, GA 31774-1414

William Dolen, M.D.1120 15th St.Augusta, GA 30912-0004

Amy Foland, M.D.1335 Church St., B3Decatur, GA 30030

Lester Freeman, M.D.2815 Landrum Dr. SWAtlanta, GA 30311-4301

Belinda Hodges, M.D.1 1 6 S. Houston Rd.Wamer Robins, GA 31088-3904

Eric McBryde, M.D.1900 Zebulon Rd.Griffin, GA 30224

Micah Riegner, M.D.63 S. Harney St.Camilla, GA 31730

Kimberly Stroud, M.D.108 Robin Cir.Toccoa, GA 30577

Michael Young, M.D.3538 sington Parc Cir.Avon Estates, GA 30002

Puerto Rico

Maribel Campos, M.D.PMB 243B5 Calle Tabonuco, Ste. A9Guaynabo, PR 00968-3003

Jhon Guerra, M.D.Dept. of Peds. HemdOnc. SectionGPO Box 365067San Juan, PR 00936-5067

Ben Hemandez-Velasco, M.D.1 00 Gran Biv. Paseos, MSC709, Ste. 1 1 2San Juan, PR 00926-5955

DISTRICT I

Eileen M. Ouellette, M.D., J.D.Pediatric NeurologyNorth Shore Children'sHospital57 Highland Ave.Salem, MA 01970-2197e-mail: eouellette.aap.orgDISTRICT 11

Robert M. Corwin, M.D.Medical Director MedBest251 Salina Meadows Pkwy.Suite 100Syracuse, NY 13212-4572e-mail: rcorwin.aap.orgDISTRICT III

Alan E. Kohrt, M.D.Medical Director/Children's Health NetChildren's Hospital ofPhilade ghia34th an Civic Center Blvd.Philadelphia, PA 19104-4399e-mail: akohrt.aap.orgDISTRICT IV

David I Tayloe, Jr, M.D.2706 Medical Office PlaceGoldsboro, NC 27534-9460e-mail: sewards.aap.org

DISTRICT V

Stanford A. Singer, M.D.36700 Woodward Ave.Suite 300Bloomfield Hills, MI 48304-0908e-mail: ssinger.aap.orgDISTRICT VI

Kathryn Piziali Nichol, M.D.1314 Morrison St.Madison, WI 53703-3812e-mail: knichol.aap.org

R :; IVIVIU3 lbidi IU, VVI-t 7OV-tV-Z-I:.)O ;0 0

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August 2002 wwwaapnewsorg AAP News 97

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DISTRICT Vll

Gary Q. Peck, M.D.Office of Public Health325 Loyola Avenue - Suite 513New Orleans, LA 701 12-1829e-mail: gpeck@?aap.org

* DISTRICT Vlill

: Jon R. Almquist, M.D.: Virginia Mason Medical Center* Department of Pediatrics: 33501 First Way South: Federal Way, WA 98003-6208. e-mail: jalmquist?aap.org

DISTRICT IX

: Burton F. Willis, M.D.: 9900 Talbert. Suite 201: Fountain Valley, CA 92708-5153. e-mail: bwillistaap.org

* DISTRICT X

* Charles Linder, M.D.: Medical College of Georgia. 1120 15th St: Rm HF1117: Augusta, GA 30912-0004

e-mail: clinderEaap.org

. American Academy

. of Pediatrics* DEDICATED TO THE HEALTH OF ALL CHILDREN'

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tvdwttingdStorv~~~~~~~~~M

The WVIRELESSalarmn that wakes

the BEDWVETTER...not the whole house!

(azitffiomycin for oFal suspension)BRIEF SUMMARY

INDICATIONS AND USAGEZITHROMAX( (azithromycin) is indicated for the treatment of patients Wvth mild to moderate inwfections (pneumonia:see WARNINGS) caLused by susceptible strains of the designated microorganisms in the specific conditions listedbelowv.As reomne oae.drations of theraDvadwlicableDatientwDoulations varv amongthese irnfec-tions. please seeDOAEANDADMINISTAINfrs%ecific dosinagrecommrrendations,Acuie otitis media caused by Haen70philus influenzae, Moraxafla catarrhalis, or Streptococcuspneumoniae.(For specific dosage recommerndation, seeDOSAGEAND ADMINISTRATilON.)Community-acquired pneumonia due to Chlamydia pneumoniae, Haemophilus infiuenzae, Mycoplasmapneumonlae or Streptococcus pneurroniae in patients appropriate for oral therapy. (For specific dosage recom-mendation, see DOSAGE AND ADMINISTRAillON.)

NOTE.Aikffimmycin should not be used in pediatric padients with pneumonia who are judged to beinapprrit fo oraitlw aray because of moderate to severiness or riskfaeorssuch asan ofth folmlowing:padsnts with cystie fibrosis, patientswith nosocomiall acquired infec-dows, patients with known or sus ted bahen kPatents requiringhopta ztin orpatientswithsini'miet undeyking heai rbesd a opois hi ability to

Whdisloslts caused by Streptococuspyogenesas an altemative to first-lin thrpy inindividjuaswocnt use first-line therapy. (Forspecific dosage recommendation, see DOSG 'AND ADMINIS-TRATION.)NOTE: Penicillinb the intramuscular route is the usual drugof choice in the treatment of Streptococcusyogenes infectio -n -the prophylaxis of rheumatic fever. ZITHROMAX° is often effective in the eradication of s7uscep,-tible strainscof Streptococcusp oenesfrom the nasopharynx. Because some strains are resistant to ZITHROMAX°,susceptibility tests should be pDegrimed wvhen patients are treated with 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 causative

organism and its susceptibility toazithromycin. Therapy with ZITHROMAX° may be initiated before results of thesetests are known;oncethe results become available, antimicrobial therapy should be adjusted accordingly.

CONTRAINDICATIONSZITHROMAX° is contraindicated in patientsWvth knovvn hypersensitivity to azithromycin, erythromycin or anymacrolide antibiotic. WARNINGSSefious allergic reactions, including angioedema, anaphylaxis, and dermatoloqic reactions including StevensJohnonSndroe an toxc epdermal necrolysis have been reorted rarely In patients on azithromycin therapy.Altougrae, atlites aveben reported. (See CONTRAINDICATIONS. Despite initially successTul sympto-matcteatentof he llegicsymptoms, when symptomatic therapy was discontinued, the allergic symptomsrecrreson fierfte insome patienX without furtheruizfiromycin exposure. These patients requiredprolonged periods of observation and symptomatic treatment The relationship of these episodes to the long tissuehalf-life of azithromycin and subsequent prolonged exposure to anti en is unknown at present.If an allergic reaction occurs, the drug shouldbe discontinuedan appropriatetherpy should be instituted.Physicians should be aware that reappearance of the allergic symptoms may occur when symptomatic therapy isdiscontinued.

InXwtretetof pneu_ia, admy ncin has only been shown tobesafeand effectivein thestea_etof muni_y-acquire luo dueto Ckhh ydisp_iuz _e pHmmo

Aznhromycin should notbe used mpainswt neumonia who areludged to be'inn ropriate fororal~~~~~~~~~~~~ ~ thrapbeas oebt eeeileso ikhtr uh"ayo h ng: patientsNwitc fbeosis paf wilhat tosevealyacurednssoriskfectionsucpatins with kown orsspcebateema --nts -quiring ho pitlializaon,elderly ordblttd patients, or patients with signifi-cantunelm UNltpIFem ta may compromise their abiliyt respond to theirillness (includingimmundiinyo hinction al asplenia).PseudomebranouscolSts has usereoredw theryally antibacterial agents and nay range inseveityfro mid t lif theatnin n V itisimp rWnt consider thisdslagnosisin peant swho~~~~~~~Sftwtineasbeunt the adminsrto ofantbactedal agents.Treamen wihanibateral aent alersthe normal flora of the colon and may permit overgrowth ofclostridia.Studies indicate that a toxinprdcdb Clostridium difficile is a primary cause of "antibiotic-associated colitis."

After the diagnosis of pseuoebao s 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 with fluids andelectrolytes, protein sup-plementation, and treatmentwith an antibacterial drug clirnicallyefective against Clostnidium d0fcilecolitis.PRECAUIIONSGeneral: Because azithromycin isprincipally eliminated via the liver, caution should be exercised when azithromycinis administered to patientsvith imTaired hepatic function.

There are no data regarding azithromcn usagein patientswith renal impairment; thus, caution should be exer-cised when prescribing azzithromycin in=tespatients.Thefollowing adverse events have been reportedwith macrolide products: ventriculararrhthfmias,irncludingventriculartachycardia and torsadesdepointes, in individualswith proloniged OTintervals.There has been a spontaneous report trom the post-mnarketingexprinc o a patientwith previous historyofarrytmias who experienced torsadesdepointesand subsequentmoada infarctionfollowing a course otazithromycin theraDyInformation forPateins: Zithromax*oral suspension can be takenwith orsvithoutfood.Patents should also be cautioned not to take aluminum- and magnesium-containing antacids and azithromycinsimultaneously.

The patient should be directed to discontinueazithromycin immediately and contact a physician if any signs of anallergic reaction occur.

Inlia_ e

nsAluminurm- and magnesiwlHuw"antacids reducefthpeak serumanmatin(rate)but nutthewCfexeit)of azithrmrTi abs b

Administration of cimetidline (806 bmwgtwo hours pfiorto azithromycin had no effect on azithromycin absorptior.Azitromyinid nt afectthe plasmnaconcentrations or phamnaCOKinetics of theophy linieadministered as a sin-gle itraveous dse.Theffe to azithromycirnon the plasma concentrations or pharmacokinetics of theophyllineadminsterdinmultple oses resulting in therapeutic steady-state concentrations of theophy line is not known.Howevr,cnwrrnt ue ofmacr lides and theopnylline has been associatedwith increases in the serum concen-trations of theophylline. Therefore, until further data are available, prudenitmedical practce dictates careful monitor-ing of plasma theophyllirieconcentrations in patients receiving azithromycin and theophylline concomitantly.Azithromycin did not affect the prothrombinbmre response to a single dose of warfarin. However, prudent med-ical pracbce dictates careful monitoring of prothrombin Time in all patients treatedwithazithromycinland warfarinconcomitanty. Concurrent use of macrolides and warfarin in clinical practice has been associated with increasedanticoagulant effects.

Thefolloving druginteractions have not been reported in clinicaltrials withaithromycin; however, no specificdruginteracbon studies have beenprformed to evaluate potential drug-druginteracbon. Noretdieess, they navebeen observed witmacroliide=rdcsU nbl further data are developed regardingdnuginteractions whenaztrmcna nthsdugar used concomitantly, careful monitoring of patients is advised:Ergotminer diydroegota ine-acute ergot toxicity characterized by severe peripheral vasospasm and dyses-Triazolam-decrease the clearance of triazolam and thus may increase the pharmacologic effect oftriazolam.Drugsmetabolized bythe cytochrome P450 system eevations of serum carbnarrapine,terfeadime,cydospodrinehambarbital,arndphe oDn socnrtolaoaorTs iterac donxThere areno reported laboratorytest interactions.Cu ci Mutbgenesis,Impainne t of FerWitybLong-termstudies in animals have not been performed

to evaluatecarcnogenic potential.Azithromycin has shown no mutagenic potential in standard laboratorytests:mouse lymphornaassay, numan lymphocyte clastog,enic assay,anamousemmnmarrowclastogenic assay.No evi-denceOfimpaired fertilityuetoazithromy in wasw ound.Prw eratoenicEffecs. Prgnany CatgoryB: Reproducton studies have been perwrm Ted in rats andmice atdoe up to moderately matemally toxicd ose concentrabons (Le.,200 mg/kg/dayl. These doses, based

on a mg/mlbasis, 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 adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of humanresponse, azithromycin should be used during pregnancy onlyif clearly needed.NursingMdomes It is not knovvn whether azitnromycin is excreted In human milk. Because many drugs areexcreted in human milk, caution should be exercised wnen azithromycin is administered to a nursing woman.PediiiricUe:(eI NDCAillONSAND USAGEAND DOSAGEAND ADMINISTRATION.)Acute Otitis Media (total dosage regimen: 30m/g, see DOSAGEAND ADMINISTRATilON): Safety andeffectiveness in the treatment of children with otitis media under 6 months of agqe have not been established.CommunityAcquired Pneumonia (dosage regimen: 10 mg/kg on Day 1 followved by 5 mg/kg on Days 2-51:Safety and effectiveness in the treatmeont of children with community-acquired pneumonia under 6 months ofage have not been established. Safety and effectiveness for pneumonia due to Chlamydia pneumoniae andMycoplasmapneumoniaewere documented in pediatric clinical trials. Safety and effectiveness for pneumoniadue to Haemophilus influenzaeand Streptococcuspneumonliaewere not documented bacteriologically in thepediatric clinical trial due to difficuIt in obtaining specimens. Use of azithromycin for these two microorganismsIS supported, however, by evidencefrom adequate andwelk-ontrolled studies in adults.PhayngtisTonilltis(doageregmen'12 mg/kg on Days 1-5): Safety and effectiveness in the treatment of chil-drenwithphayngiis/tnsilitiuneir2 years oTage have not been established.Sudies~ ~ ~~~omvZXueirpeated courAs ofdop have notbeen conducted.Geriic se:hamacoknetc paameers n oder oluteers M6-5 years old) wmere similar to those in youngervolunteers (18-40 years old)foth5-athrpuireie.Dsgadsmntosnt appear to be necessaryfor older patients with normlrnladhptcfnto eevn ramn mt hsdsg regimen.In clinical trials, most of the reported side effects were mild to moderate in severity and were reversible upon dis-continuation of the drug. Potentially serious side effects of angioedema and cholestatic jaundice were reportedrarely Approximately O.7% of the patients (adults and children) from the 5-day multiple-dose clinical trialsdiscontin-ued YIHROMAXII(azithromycin)therapy because of treatment-related side effects.In clinical trials in children given30 mg/kg, eite aasiaedsoroe3 a,dscninuation from thetrials due to treatment-related side effectswas approximtl 1.(eDOAEN MIISTRATION.) Most of the side effects leading to discontinua-tion were reltdtthgatonetalrc, e.g., nausea, vomiting, diarrhea, or abdominal pain.Clinical:Children: Single andMultiple-dose regimens,The types of side effects in childrenwmere comparable to those seenin adults, with different incidence rates for the dosage regimens recomnmended in children.Acute Otitis Media: Forthe recommended total dosage regimen of 30 mg/kg, the most frequent side effects(21 %)attributed to treatment were diarrhea, abdominal pain, vomiting, nausea and rash. (See DOSAGEAND ADMINISTRATIlON.)The incidence, based on dosingroimen, is described in the table below:

Dosage Diarrhea, % Abdominal Vomiting,% Nausea, % Rash, %Regimen , bin, %1-day 43% -X% 49% 1.0% 1.0%3-day 2.6% MtO 2.3% 0A% 0.6%5-day 1.8% 1l2% tl1% 0.5% 0.4%

Community-Acquired Pneumonia: Fortherecommended dosage regimen of 10 mg/kg on Day 1 followved bv5 mg/kgon Days 2-5, the most frequent side effectsattributed to treatmnent were diarrhea71oose stools (5.8%), abdominalpainvomiinogan nauea (.9% each),and rash (11.6%).Piarngits/tnsiliti: hrtherecomrHnanded dosageregimen of 12 ma/go Days 1-5, the most frequentrshdONfctattibtdhoteadacent.V were diarrhea (5.4%), vomiting (5.6%-e),abdominal pain (3.4%), nausea (2%),With any of the treatment regimens, no other treatment-related side effects occurred in children treated with

ZITHROM "Iwith a frequency greater than 1%. Side effects that occurred with a frequency of 1% or less includedthe following:Cardiovascular:Chest pain.Gasumntestinal: Dyspepsia, constipation, anorexia, enteritis, flatulence, gastritis, jaundice, loose stools and oralmoniliasis.He ican Lnn hatic: Anemia andleukopeiN tenrousm Heaaache (otitis media dosage) rhyperkinesia, dizziness, agitation, nervousness and insomnia.GnrlFee,face ederma, fatigue, fungal infection, malaise and pain.Aeic: Rash and allergic reactiorLRepaoy Couq increased, pharyngitis, pleural effusion and rhinitis.Skinand Appendages: Eczema, fungal dermatitis, prufitus, swveating, urticaria and vesiculobullous rash.Special Senses: Conjunctivitis.Post-MafkeingExperiene:Adverse events reported withazithromycin during the post-marketing period inadult and/or pedi'atric patients for which a causal relationship may not be establis-hed include:Alri:Arthralgia, edema, urticaria and angioedema.Cadosclr Arrhythmias including ventricular tachycardia and hypotension.Gastrontestinal: Anorexia, constipation,dyspepsia, flatulence, vomiting/diarrhea rarely resulting in dehydration,pseudomembranous colitis, pancreatitis, ora candidiasis and rare reports of tongue discoloration.General: Asthenia, paresthesia, fatigue, malaise and anaphylaxis (rarely fatal).Genitourinary-Interstitial nephritis and acute renal failure and vaginitis.Hematopoitic: Thrmbocytop nia.Live/Bifarybnoral lver uncton including hepatitis and cholestatic jaundice, as well as rare cases of hepaticnecrsisandhepticfaiure so eo which have resulted in death.NervosSysem: Cnvulsons,dizziness/vertigo, headache, somnolence, hyperactivity, nervousness, agitation andsy coDe

Psciti:Aggressive reaction and anxiety.SnAp ndagesPruritus, rarely serious skin reactions including erythema multiforme, Stevens-Johnson syn-drmn oxic epidermal necrolysis.Special Senses:Hearing disturbances including hearing loss, deafness and/ortinnitus and rare reportsof tasteperversion.Labatr AbnormnalitiOne,Threeand FrveDay RegimensLaboratory data collected from comparative clinical trials employing two 3-day regimens (30 mg/kgor 60 mg/kg individed doses over 3 days), or two 5-day regimens (30 mg/kg or 60 mg/kg in divided doses over baays) were simi-lar for regimens of azithromycin and all comparators combined,vvith most clinically significant laboratory abnor-malities occurring at incidences of 1-5%. Laboratory data for patients receiving 30mgk as a single dose werecollected in one single center trial. In that tfial, an absolute neutrophil count betwveen%501500 cefls/mm'wiasobserved in 10/64 patients receiving 30 mg/kg as a single dose, 9/62 patients receivn 30 m/Auqiven over 3davs, and 8/63 comparator patients. No patient had an absolute neutrophil count<0 cells/mnr3.7See DOSAGEAb*ADMINISTRATilON)Inmultiple-doseclinical trialsirnvolvng approximately 4700 pediatric pafients, no patients discontinued therapybecause of treatment-related laboratorv abnormalities.DOSAGEAND ADMINISTRA;IION (See INDICArIONSAND USAGE)Zithromax°for oral suspension can be takenvWth orwithout foodAcute OdtisMedia: The recomnmended dose of ZITHROMAX°for oral suspensionfor the treatment of childrenvv th acute otitis media is 30 mg/aggiven as a singledose or 10 m g/konce dailyfor 3 days or 10 mg/kg as a singledose on theifirst day fbllowved by 5 mg/kg/dayon Days2 through 5.Tlieosafety of re-dosingazithromycin in childrenwhovomit afterreceiving 30 mg/kg as a singiedosehnasnot been established. In clinical studiesinvolvinq 487patients~~~~ ~ ~~~~~wihaueoii!ei ie ig 30mg/ g dose ofazithromycin, eight patientswvho vomitewithin 30minutes of dosingwvere re-dosed at the same total rose.Community-Acquired Pneuona:The recommended dose ofZlTHROMAX"fororal suspension forthetreatmentof childrenwith community-acquired pneumonia is 10 mg/kg as asirngle dose on the first dayfollowed by 5 mg/kg onLays2_ouh 5.PhrynWFoniiUWis The recommended dose of ZITHROMAX)fo r childrenwith pharyngitis/tonsillitis is12 mgtKgonce daily for 5 days.For moredetailedproductinfomrnationplease refertothe fullprescribing informabon orcall 1,Mo8793477.

Rev. January 2002

11A lytl

SOUTHEAST

General Pediatricians - The Department ofPediatrics at the University of Florida HealthScience Center-Jacksonville seeks applicantsfor 3 new positions in the General PediatricsDivision as a General Pediatrician at the levelof Clinical Assistant Professor/ClinicalAssociate Professor. These appointments arefull-time, non-tenure, clinical track appoint-ments. Major responsibilities for these positionwill include patient care and teaching withopportunities in research possible. Applicantsshould possess a M.D. degree and be BoardEligible/Board Certified Pediatricians. Deadlinefor receiving applications is Aug. 15, with ananticipated negotiable start date of Sept. 15.Salary is negotiable. Forward letter of intent,curriculum vitae, and the names and addressesof three references to: Mobeen H. Rathore,M.D., Professor & Assistant Chairman, SearchCommittee Chairman, Department ofPediatrics, University of Florida-Jacksonville,653-1 W. Eighth St., Jacksonville, FL 32209.Phone: (904) 244-3050. Fax: (904) 244-3028.E-mail: mobeen.rathore?jax.ufl.edu. TheUniversity of Florida is an AffirmativeAction/Equal Opportunity Employer.

Kentucky: Pediatrician needed immediately inHPSA location. J-1,HlB,Permanent Residentor US Citizen all welcome. Computer literacypreferred. Send CV to AAP 8,P.O. Box 149,Bel Air, MD 21014.

ANDERSON, S.C. - Well-established privatepractice seeks associate; senior partner retiring.BC/BE, energetic; must have excellent training;communications skills. Primarily OP practice;easy call. Stable office staff. Salary year one;partnership track. One hosp; 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 hrs to Charlotte orAtlanta; less to Asheville and mountain areas.CLEMSON UNIVERSITY, 16 miles. ...drive toCharleston by lunch. Sherry Chastain, MedicalStaff Development, Anderson Area MedicalCenter; schastaiOanmed.com; (800) 226-3103 Does not qualify for Jlwaiver. NORECRUITERS.

FLORIDA, Palm Beach County. Progressive,well-established 7 MD/5 PNP practice lookingfor new MD. Wonderful location with appre-ciative patients. Relaxed pace, excellent work-ing cond ition s. E-mail:dpke?pbpediatrics.com

NORTHWEST

Beautiful Oregon Coast-The Bay Clinic is seek-ing a BC/BE Pediatrician to replace a physician

AmericanAcademy ofPediatrics

who 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 predominantly fee-for-service with in-house laboratory and x-raydepartments for efficient and convenient serv-ice to our patients. Emergency call rotationfor the 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 no.buy-in. Bay Area Hospital is located directlyacross the street and is the main referral cen-ter for the entire Southern Oregon Coast. It isa completely modern 1 72-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:dwaish?harborside.com .

Pediatrics for the Practitioner-Big Island ofHawaii, Oct. 14-17. Sponsored by Saint Luke'sHospital and The Children's Mercy Hospital ofKansas City. Call (816) 932-2220 or send e-mail to cmeEsaint-lukes.org for more infor-mation.

Augmentin (amoxicillir/clavulanate potassium) is a registered trademark of GlaxSmithlline.References:t Data on file. Pfizer Inc., NewYork, WY. Block SLArrieta A, Seibe M, McLinn S, Eppes SC. Single dose azithiromycin (30 mg/kg) in acute oftits media. Paper presented at Infectious Diseases Society ofAmerica 38tAnnual Meeting; SeplBmber7-10, 2000;New Odeans, La.Abstact174.

4MUS. PharmaceuticalsZX12067 (B 2002 Pfizer Inc. All rights reserved.

August2002 www.aapnews.org AAPNews 99

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