r'l'" 1-DDear Academy Fellow:In order to fulfill the admission requirements of AAP Bylaws, you are requested to:Carefully review the following list of new applicants 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 that academicand pediatric credentials are not in question. Comments are requested concerning possible legaland/or ethical situations of which you might have personal knowledge.Send any comments on the following list of new applicants to your District Chairperson by August 15.

: Francisco Lossio, M.D. : Ejemeh Okojie, M.D.: 3166A Richmond Rd. : 2681 Wellworth Way: Staten Island, NY 10306 : West Friendship, MD 21794

* Bindu Parekattil, M.D. *Linda Sbarra, M.D.: 46 Woodlake Rd., Apt. 8 : 11 S. Eutaw St., Apt. 1605: Albany, NY 12203 :Baltimore, MD 21201

: Veniamin Ratner, M.D. : Jon Simon, M.D.: 62-82 Saunders St., Apt. 4C : 7 Kincaid Ct.: Rego Park, NY 11374 : Baldwin, MD 21013

:Elizabeth Szilagyi, M.D. :Maria Aurora Soriano, M.D.:1654 E. 13th St., Apt. 2E :10800 Wadsworth Rd.:Brooklyn, NY 11~229 Woodstock, MD 21163

: Randi Trope, D.O. :Jennifer Zinderman, M.D.: 142-20 26th Ave., #6H :9246 Perfect Hour:Flushing, NY 1 1354 :Colu mbia, MD 21045

: Tin Mar Tun, M.D. : New Jersey: 150 Oceana Dr. W. Apt. 3B :Mario Bautista, M.D.: Brooklyn, NY 11235 :910 Forest View Dr.

: : ~~~~~~Avenel, NJ 07001:Julie Weiser-Shlefstein, M.D .::24 Ridge Rd :Jean Berghaus, M.D.:Albertson, NY 11507 :24 Surrey Ln.

: : ~~~~~~Eatontown, NJ 07724:Vera White, M.D.::1 Hillside Ave. :Isaac Braverman, M.D.:Port Washington, NY 1 1050 :164 Flintlock Dr.

: : ~~~~~~Lakewood, NJ 08701* NewYork 3

*M. G. Raymundo Baquiran, M.D. * Marisa Ciufalo, M.D.:140Van CordandtAve. W. Apt 7G : 218 Sheffield Ct.:Bronx, NY 10463 : Denville, NJ 07834

:Audrey Birnbaum, M.D. :Deborah Frey, M.D.:201 E. 87th St. :213a E. Bradford Ave.:New York, NY 10128 :Cedar Grove, NJ 07009

:Jean Goh, M.D. :DeAnn Holbrook, M.D.:160 E. 65th St., Apt. 4E : 138 Woodward Ln.:New York, NY 10021 : Basking Ridge, NJ 07920

:Bert Mandelbaum, M.D. : Dennis Kuo, M.D.:435 E. 70th St., Apt. 33B : 107 Hillman Ave.:New York, NY 10021 : Glen Rock, NJ 07452

*Allen Mayer, M.D. *Eva Mayer, M.D.:333 E. 68th St. #9F :25 Melville Rd.:New York, NY 10021 :West Windsor, NJ 08550

:Christopher Nicpon, M.D. :Adam Naddelman, M-.D.*14 Canterbury Ln. *40 Eleanor Dr.*Suffern, NY 10901 *Kendall Park, NJ 08824

:Eric Oberman, D.O. :Henry Shih, M.D.:1043 Ash Dr. :114 Lloyd Ct.:Mahwah, NJ 07430 :East Brunswick, NJ 08816

:Oscar Purugganan, M.D. :Paul Sirna, M.D.:30 Waterside Plz., Apt. 1 0-H :33 Felch Rd.:New York, NY 10010 :Florham Park, NJ 07932

:Kathleen Reichard, D.O. :Hatidza Zunic, M.D.:1735 York Ave., Apt. 22H :9 Independence Dr.:New York, NY 10128 :Aberdeen, NJ 07747

:Soultana Tomopoulos, M.D. : Pennsylvania:21-40 45th St. :Paul Chlpka, M.D.:Astoria, NY 11105 :2395 Garden Way

: : ~~~~~~Hermitage, PA 16148:Dana Ursea, M.D.:1320 York Ave. #18A :Hong Jin, M.D.:New York, NY 10021 :106 Society Park Ct.1:- : ~~~~Emmaus, PA 18049

.__ . ~~~~Rosemary Johnston, D.O .

: : ~~~~~~940Stonev Bridge Dr.* Delaware Chambers6urg, PA 17201Colleen Allorto, D.O.*37 Waterwheel Cir. *Laura Kelley, M.D.Dor%veir, DE 1990A1 70 BocerD.

* * ~~~~~~Huntingdon Valley, PARebecca G rinarm l, M . D. 1 900610 Colony Blvd., Apt. 534*Wilmington, DE 19802 .Cynthia Mollen, M.D.

* District of Columbia *Philadelphia, PA 19146Robert Freishtat, M.D.1 1 1 Michigan Ave. NW .Jennifer O'Brien, M.D..EMTC/CNMC .112 Bellows WayWashington, DC 20010 Lansdale, PA 19446

* Maryland *Mark Oliver, M.D.*Sayeed Farooqui, M.D. *225 Ridgeway Dr.14305 Perrywood Dr. .Cutaula, GA 31804Burtonsville, MD 20866

* * ~~~~~~Deborah Sumner, M.D.Sherri Gruneberg, M..D. .195 Woodward Rd.*6822 Carlinda Ave. *Media, PA 19063*Columbia, MD 21046

Svetlana Yanishevski, M.D.9378 Parkgate Dr.Germantown, TN 38139

VirginiaDoris Cascino, M.D.910 E. Ocean View Ave.Unit 29Norfolk, VA 23503

Sandy Chung, M.D.3650 Joseph Siewick Dr.Ste. 101Fairfax, VA 22033

Adam Falik, M.D.1294 Ashford Park Dr.Glen Allen, VA 23059

Ingrid Johnson, M.D.5944 Westcott Hills WayAlexandria, VA 22315

Janet Kao, M.D:12008 Lisa Marie Ct.Fairfax, VA 22033

Alice Mar, M.D.7715 Inversham Dr., Apt. 1Falls Church, VA 22042

Kristen Powell, M.D.1 1 109 Mill Place Ct.Glen Allen, VA 23060

Linda Slayton, M.D.411 Eissman Rd., Apt. 7Leesville, LA 71446

Matthew Weber, M.D.13428 College Valley Ln.Richmond, VA 23233

Anesthesiology Specialty FellowVyas Kartha, M.D.145 S. Ardmore Rd.Columbus, OH 43209

John McBride, M.D.4103 Dunkirk Rd.Toledo, OH 43606

Jennifer Murtagh, M.D.3873 Sulphur Springs Rd.Toledo, OH 43606

Svetlana Pomeranets, M.D.2438 White Rd.Cleveland, OH 44118

Maria Tomaszewska, M.D.8439 Hendricks Rd.Mentor, OH 44060

Jilda Vargus-Adams, M.D.3863 Mt. Vernon Ave.Cincinnati, OH 45209

Connecticut :Karen Beckman, M.D. :31 Putnam Green, Apt. G :Greenwich, CT 06830 :

Debra Gotz, M.D.7 Putnam Green, Apt. BGreenwich, CT 06830

Jonathan Kocmond, M.D.55 Danbury Rd.Wilton, CT 06897

Massach usettsEileen Fisk, M.D.324 Paradise Rd.Swampscott, MA 01907

Julie Lumeng, M.D.,One Boston Med. Ctr. PI., Mat 5Boston, MA 02118

Jordan Orange, M.D.232 Jamaica Way, Apt. #1Jamaica Plain, MA 02130

Staci Resnick, M.D.105 Sunset Dr.Somerset, MA 02725

Sheryl Silva, M.D.95 Hale St.Beverly, MA 0191 5

Maria Trent, M.D.114 Independence Dr.Chestnut Hill, MA 02467

Cassandra Walcott, M.D.1 1 Perkins Sq., Apt. 9Jamaica Plain, MA 02130

New HampshireKristen Prescott, M.D.14 Wild Acres Rd.Gilford, NH 03249

Rhode IslandHoward Silversmith, M.D.21 Overbrook Ln.East G reenwich, RI 02818

Romi Webster, M.D., M.P.H.104 Cole Ave., 3rd Fl.Providence, RI 02906

Uniformed Services-EastChristine Casey, M.D.16 Thistle Ln.Cape May, NJ 08204

Greg Pavich, M.D.970 Heathland Dr.Newport News, VA 23602

Melinda Rathkopf, M.D.3711 Sedgefield Dr.Valdosta, GA 31605

William Troutman, M.D.611 Broad Ave.Gulfport, MS 39501

New York 1Rachel Goldberg, M.D.4 Sturbridge Ln.Pittsford, NY 14534

Khaver Kirmani, M.D.2 Kings Ct., Apt. 3Camillus, NY 13031

Caitrin Navarro, M. D.81 Schoolhouse Rd.Albany, NY 12203

New York 2Yaw Appiagyei-Dankah, M.D.100 Fleet Pl.Mineola, NY 11501

Dmitriy Burman, M.D.2516 E. 28th St.Brooklyn, NY 11235

Elisabeth Issa-Basch, M.D.1120 Roxbury Dr.Westbury, NY 1159036a AAP News July 2001

West Virgnia :Rajeev Winfred, D\D. :103 Blueville Dr., Apt.B:Morgantown, WV 26354:

KentuckySheena Banerjee, M.D.1400 Cumberland Falls Hwy.Ste. CCorbin, KY 40701

Marissa Caluya, M.D.19 Saddlebrook HomesLondon, KY 40741

Sara Cathey, M.D.715 1/2 16th St.Ashland, KY 41101

Melissa Flyn n, M .D289 Deer Run WayElizabethtown, KY 42701

Karen Orman, M.D.Ped Critical Care571 S. Floyd Ste 332Louisville, KY 40202

Tammy Wright, M.D.2476 Glen Eagle Dr.Louisville, KY 40222

North CarolinaTamera Coyne-Beasley, M.D.5000 Greenview Dr.Durham, NC 27713

Doris Kazanzides, M.D.3804 New Holland Dr.Wilmington, NC 28412

Gary Kleiner, M.D., Ph.D.1200 Mayruth Dr., Apt. 3Durham, NC 27713

Nicole Parkerson, M.D.10601 Candler Falls Ct.Raleigh, NC 27614

John Paschall, M.D.1354 Heathbrook Cir.Asheville, NC 28803

Edward Pickens, M.D.1343 Bynum Rd.Pittsboro, NC 27312

John Scheitler, M.D.1508 Rice Hope Ct.Gastonia, NC 28056

South CarolinaTammy Adams, M.D.7 Spyglass Ct.Columbia, SC 29229

John Cahill, M.D.997 Johnnie Dodds Blvd., #627Mount Pleasant, SC 29464

Catherine DeFoor, M.D.131 Mossy Oak WayMount Pleasant, SC 29464

Michael Leonardi, M.D.397 Culver Ave.Charleston, SC 29407

TennesseeGail Addlestone, M.D292)4 W. MoAreland Dr.Nashville, TN 37212

Anne-Marie Hain, M.D.2506 Woodlawn Dr.Nashville, TN 37212

Jane Hayden, M.D.1 13 Island Crest Cir.Memphis, TN 38103

Daphne McColl, M.D .

9822 Hardin Ridge Way #108Knoxville, TN 3793 1

Bianca Sweeten, M.D.635 E. Parkway SMemphis, TN 38104

IllinoisDouglas Ashley, M.D.681 E. Highview Ter.Lake Forest, IL 60045

Kristen Chimileski, M.D.724 W. Sheridan Rd., Apt. #1 SChicago, IL 60613

Gene Couri, M.D.1646 W. Devereux Dr.Peoria, IL 61614

George Gancayco, M.D.1694 Carlemont Dr., Apt. DCrystal Lake, IL 60014

Enzo Garcia, M.D.425 W. Surf St., Apt. 208Chicago, IL 60657

Robert Gillespie, M.D.545 N. Humphrey Ave. #2Oak Park, IL 60302

Sapna Gupta, M.D.132 E. Delaware PI. #5903Chicago,IL 60611

Heidi Kramer, M.D.306 Amherst Ct.Vernon Hills, IL 60061

Michael Miller, M.D.165 Darden Ln.Washington, IL 61571

Mary Nevin, M.D.6409 Willow Springs Rd.Springfield, IL 62707

Shannon Nourbash, M.D.242 Arboretum Dr.Lombard, IL 60148

Shelli Seebruch, M.D.1386 Glenside Dr.Bolingbrook, IL 60490

Maliha Shareef, M.D.1623 S. Norbury Ave.Lombard, IL 60148

William Stratbucker, M.D.2646 Eastwood Ave.Evanston, IL 60201

Julie Wohrley, M.D.5301 N. RothmerePeoria, IL 61615

Stephanie Wojtowicz, M.D.17 Chimney View Dr.Springfield, IL 62707

Frances Youssef, M.D.505 N. Lake Shore Dr. #1203Chicago, IL 60611

IowaDaniel Brink, M.D.1420 Aber Ave.Iowa City, IA 52246

0

1 1:

0

0

0

IndianaHande Alp, M.D.57 E. Delaware PI., Apt. #1806Chicago,IL 60611

Eve Gill, M.D.6513 Hyde Park Dr.Zionsville, IN 46077

Richard Reifenberg, M.D.3712 Pinto WayIndianapolis, IN 46228

MichigaanGirish Deshpan'fie, M.D.650 Linden St.Big Rapids, MI 49307

Daniel Frattarelli, M.D.7172 Osage Ave.Allen Park, Ml 48101

Susan Lagrou, M.D.1559 S. Riverside Ave., Apt. 1 BSaint Clair, MI 48079

Sandhya Parikh, M.D.19393 Pollyanna Dr.Livonia, Ml 48152

Anthony Van Es, M.D.1917 Brentwood Ave.Kalamazoo, MI 49008

OhioOrthopaedics Specialty FellowMichael Albert, M.D.One Childrens Piz.Dayton, OH 45404

Hermine Brunner, M.D.3333 Burnet Ave., Pav. 2-129Cincinnati, OH 45229

Peter Catanzaro, M.D.2803 Scarborough Rd.Cleveland Heights, OH44118

Conrad Cole, M.D.7934 Stonegate Dr.Cincinnati, OH 45255

Mary Foley, M.D.1054 Millbury Dr.Medina, OH 44256

IL--;.j( .... L. I E)-

I f7\

Kansas:Charles Powell, M.D.201 N. 13th St.Louisburg, KS 66053

Lynne Powell, M.D.1201 Lakemary Dr.Paola, KS 66071

Jennifer Reintjes, M.D.623 W. 69th Ter.Kansas City, MO 64113

Claire Sheinker, M.D. I7640 Tomahawk Rd. IPrairie Village, KS 66208

Kansas ChapterIDeborah Winburn, M.D.8800 W. 75th St., Ste. 220Shawnee Mission, KS 66204

MinnesotaHatem Elhagaly, M.D.414 Park Ave.Albert Lea, MN 56007

Denise Lenarz, M.D.909 N. 14th St.Sartell, MN 56377

Brad Miller, M.D., Ph.D.719 15th Ave. NERochester, MN 55906

Marcia Smith, M.D.2709 59th St. NWRochester, MN 55901

MissouriAnesthesiology Specialty FellowJames DeCourcey, M.D.4901 W. 140th St.Overland Park, KS 66224

Mary Deeken, M.D.236 S. Bluff St.Jefferson City, MO 65101

Richard Felkel, M.D.3147 Old Baumgartner Est. Ct.Saint Louis, MO 63129

Robert Lancey, M.D.3205 Woodbine Dr.Columbia, MO 65203

Shellie Usami, M.D.7301 Lindell Blvd.Saint Louis, MO 63130

Charles Vedder, M.D.832 Horan Dr.Fenton, MO 63026

North DakotaParag Kumar, M.D.2612 36th Ave. #101Fargo, ND 58104

South DakotaMatt Bien, M.D.201 Pine Ridge Rd.Brookings, SD 57006

WisconsinMargaret Amateau, M.D.3775 E. Denton Ave. #88Saint Francis, WI 53235

Kevin Gilmartin, M.D.4447 Heartland Dr. WEau Claire, WI 54701

Scott Johnson, M.D.6965 Chester Dr., Apt. EMadison, WI 53719

Kristi Klett, M.D.6960 Antler Cir.Wausau, WI 54401

Kristine Wolf, M. D.815 E. Merrill Ave.Fond du Lac, WI 54935

ArkansasJohnny Ledbetter, M.D.20 Westglen CoveLittle Rock, AR 72211

LouisianaCarmen Begue, M.D.34 Antigua Dr.Kenner, LA 70065

Alston Dunbar, M.D.8726 Wartelle Ave.Baton Rouge, LA 70806

MississippiPenny Walsh, M.D.905 Sanders Dr.Amory, MS 38821

TexasMary Basey, M.D.1707 Encino RockSan Antonio, TX 78259

Candace Campos, M .D8331 Fredericksburg Rd. #305San Antonio, TX 78229

Laura Chiang, M.D.2928 Newport Dr.Rockwall, TX 75032

Carrie Dow-Smith, M.D.3111 Ivy Bend Dr.Pearland, TX 77584

Orthopaedics Specialty FellowFrank Gerow, M.D.1102 Bates MC3-2295Houston, TX 77030

Lora Gilreath, M.D.3527 Duncaster Dr.Missouri City, TX 77459

Mark Jones, M.D.305 Ridgewood Rd.Fort Worth, TX 76107

Beth Montigue, M.D.12 1 21 Richmond Ste ., 124Houston, TX 77082

Igho Olobia, M.D.3919 Barnett Rd., Apt. 323Wichita Falls, TX 76310

Neal Patel, M.D.7306 Aberdeen Ave., Apt. 2302Lubbock, TX 79424

Brooks Rogers, M.D.3409 82nd St.Lubbock, TX 79423

Beena Thomas, M.D.8623 Candlegreen Ln.Houston, TX 77071

Sing Uy, M.D.30 SapphireOdessa, TX 79762

ArizonaAngela Filler, M.D'4062 E. Fairfield St.'Mesa, AZ 85205

Lakshmi Naidu, M.D.741 1 S. Rita Ln . #1 26:Tempe, AZ 85283

:James Lindgren, M.D.:3812 E. Kings Ave.:Phoenix, AZ 85032

:Sharon Novy, M.D.:9314 E. Dreyfus Pi.:Scottsdale, AZ 85260

:Ophthalmology Specialty Fellow:Bradley Schwartz, M.D.:5190 E. Farness Dr., Ste. 112:Tucson, AZ 85712

:Kristin Woodward, M.D .

:4215 N. Drinkwater Blvd. #325:Scottsdale, AZ 85251

*ColoradoJonathan Atzet, M.D.4432 Bryant St.

: Denver, CO 80211

:Noel Brucker, M.D.:29897 Spruce Rd.:Evergreen, CO 80439

:Anna Bruckner, M.D.:2259 S. Josephine St. #303:Denver, CO 8021 0-

*Matthew Dorighi, M.D.:5155 W. Quincy Ave.,:Unit J-102:Denver, CO 80236

Ekateri na Ravi kovich, M.D6565 S. Syracuse Way, Apt. 308Englewood, CO 80111

Anesthesiology Specialty FellowAndrew Veit, M.D .

13969 W. 1 st Ave..Golden, CO 80401

:Hawaii:Maila Coleman, M.D.4643-B Waimea Canyon Dr.P.O. Box 1078Waimea, Hi 96796

: ~~Idaho:Scott Smith, D.O.3355 S. HolmesIdaho Falls, ID 83404

: Montana:John Arnold, M.D.1830 W. Sussex Ave.Missoula, MT 59801

Kristina Esham, M. D.845 Division St.Hardin, MT 59034

John Reynolds, M.D.One Second St.Clancy, MT 59634

:Nevada:Valeria Cristiani, M.D.2574 Misty Olive Ave..Henderson, NV 89052

:OregonDorin Sanders, M.D.2395 Center St. NESalem, OR 97301

Jennifer Wrazen, M.D.8545 SW Marine View St.*South Beach, OR 97366

:Uniformed Services-WestWilliam Adelman, M. D.305 River Ridge Dr.Georgetown, TX 78628

David Bush, M.D.13 1 18 W. Cypress St.*Goodyear, AZ 85338

Robert Goins, M.D.9330 Overland Way.San Antonio, TX 78254

Robert Organ, M.D.20028 85th Ave. Ct. E

.Spanaway, WA 98387

|Gregory Semancik, M.D.230 Kuumele PI.Kailua, HI 96734

UtahKimberly Balog, M.D.1490 Joey Cir.

.Sandy, UT 84092

WashingtonMegan Alford, M.D.16900 SE 26th Dr., Apt. 22

*Vancouver, WA 98683

David Anderson, M.D.6826 43rd St. NE

.Seattle, WA 981 15

Orthopaedics Specialty FellowMohammad Diab, M.D.Dept. of Ortho

!:4800 Sand Point Way. NECh-59Seattle, WA 98105

iStuart Kah n, M .D .

7013 56th Ave. NE*Seattle, WA 981 15

Brian Simmerman, M.D.13303 E. Mission Ave., Apt. 175.Spokane, WA 99216

Tamara Simmerman, M.D.13303 E. Mission, Apt. 175.Spokane, WA 99216

:California 1:Yusuf Ali, M.D:2060 Amanda Way:Apt. 144CCico, CA 95928

: Orthopaedics Specialty Fellow: Malvi n Barer, M.D: 747 52nd St.: Oakland, CA 94609

:Thomas Cory, M.D.:3145 Montecito Meadow Dr.:Santa Rosa, CA 95404

:Zoey Goore, M.D.:45 Palomino Ct.:Roseville, CA 95678

:Wolffe Nadoolman, M.D.:1563 Solano Ave.:Ste. 371*Berkeley, CA 94707

: Elizabeth Posey, M.D.: 15057 Robles Grandes Dr.: Rancho Murieta, CA 95683

:Caren Vance, M.D.:242 Beach Rd.*Alameda, CA 94502

:California 2:Olga Acosta, M. D.:8552 Puritan St.*Downey, CA 90242

:Amish Bhakta, M.D.:1520 Rodney Dr. #11 1*Los Angeles, CA 90027

:Sonja Brion, M.D.:4330 Fulton Ave.:Sherman Oaks, CA 91423

:Cara Familian, M .D:844 19th St.:Santa Monica, CA 90403

:Mi-Jeong Lee, M.D.:423 S. Orange Grove Ave.*Los Angeles, CA 90036

:Michael Regalado, M.D.:8700 Beverly Blvd.:MOT 475W*Los Angeles, CA 90048

:Xenia Roldan, M.D.:9809 Oak Knoll Ct.:Bakersfield, CA 93311

:Dinobi Ukeje, M.D.:7423 W. Manchester Ave. #6*Los Angeles, CA 90045

:Stephanie Whang, M.D.:1 325 Via del ReySouth Pasadena, CA 91 030

:California 3:Javed Akhtar, M.D.:13684 Hilleary PI.:Apt. 241*Poway, CA 92064

:Heather Carpenter, M.D .

:277 1/2 Hillcrest Dr.:Leucadia, CA 92024

: Tanya Dansky, M.D.: 4437 Mount Castle Ave.. San Diego, CA 921 17

:California 4: James Cappon, M.D.: 455 S. Main St.* Orange, CA 92868:a_

:Florida|Elizabeth Bech, M.D.2630 SW 107th Ave.Miami, FL 33165

Jamie Blackwell, M.D.9700 SW 1 04th Ct.Miami, FL 33176

Susanne Brim, M.D.10200 Gandy Blvd., 1205

*Saint Petersburg, FL 33702

Madelyn Dones, M.D.P.O. Box 668254Miami, FL 33166

Christopher Griffith, M.D.330 Vinings Way Blvd.Apt. 1 1 107*Destin, FL 32547

Jennifer Mijares-Zimmerman, M. D.5130 Whitehurst Ln.*Crestview, FL 32536

Michael Mizrachy, M.D.1307 St. Tropez Cir. #1815*Weston, FL 33326

Anthony Pohlgeers, M.D.8229 Bay Tree Ln.

*Jacksonville, FL 32256

Daniel Schwartz, M.D.21195 Helmsman Dr.,Unit F-15*Miami, FL 33180-3578

Patricia Solo-Josephson, M.D.915 Yacht Harbor Ct..Jacksonville, FL 32225

Lannie Vuong, M.D.650 West Ave., Apt. 806*Miami, FL 33139

GeorgiaLorna Bell, M.D.689 Lambeth Dr*Evans, GA 30809

David B reland, M.D2336 Sharon Ave. #3*Albany, GA 31707

William Edwards, M.D.2738 Bradberry Hill Rd.*Rocky Face, GA 30740

Anita Haugabrook, M.D.4260 Rushing Water Ct..Douglasville, GA 30135

Angela Hutchins, M.D.1873-8 Hudson Crossing

*Tucker, GA 30084

Gabriella Kacsoh, M.D.902 Hill PI.*Macon,GA 31210

Lisa Leggio, M.D.2230 Glendale Rd.*Augusta, GA 30904

Nikki Roberts, M.D.673 Trailwood Ln. SWMarietta, GA 30064

Julie Segal, M.D.*5850 Heards Forest Dr.*Atlanta, GA 30328

Richard Szabo, M.D.100 Ashwood Dr.Roswell, GA 30076

Nerka Watkins, M.D.3780 Towne CrossingApt. 613

|*Kennesaw, GA 30144

Sheri Zager, M.D.2310 KimbroughDunwoody, GA 30350

DISTRICT I

Eileen M. Ouellette, M.D., J.D.Pediatric Neurology

*North Shore Chilaren 'sHospital

.57 Highland Ave.*Salem, MA 01970*e-mail: eouelletteEaap.org*DISTRICT 11

Robert M. Corwin, M.D.* Medical Director - MedBest

251 Salina Meadows Pkwy.Suite 100*Syracuse, NY 1 3212*e-mail: rcorwinOaap.org

*DISTRICT III

Alan E. Kohrt, M.D.* Medical Director/*Children's Health NetChildren's Hospital of

*Philadelphia*34th and Civic Center Blvd.Philadelphia, PA 19104e-mail: akohrtQaap.org

* DISTRICT IV

*E. Stephen Edwards, M.D.o2800 Blue Ridge Blvd.*Suite 501Raleigh, NC 27607

. e-mail: sewardsOaap.orgDISTRICT V

Stanford A. Singer, M.D.36700 Woodward Ave.Suite 300

*Bloomfield Hills, Ml 48304e-mail: ssingerQaap.org

*DISTRICT VI

Kathryn Piziali Nichol, M.D.* 1 314 Morrison St.*Madison, WI 53703.e-mail: knicholOaap.org

DISTRICT Vll

*L. Leighton Hill, M.D.*Office of AdmissionsBaylor College of Medicine*One Baylor Plaza, Rm. N104*Houston, TX 77030*e-mail: IhillOaap.org

DISTRICT Vlill

Jon R. Almquist, M.D.*Virginia Mason Medical CenterDepartment of Pediatrics

* 33501 First Way South*Federal Way, WA 98003e-mail: jalmquistOaap.org*DISTRICT IX

* Burton F. Willis, M.D.1 1 160 Wa-rner Ave.

.Suite 101*Fountain Valley, CA 92708.e-mail: bwillisQ3aap.org*DISTRICT X

Charles Linder, M.D.* Medical College of Georgia

1 120 1 5th St.,* Rm HF1 1 1 7* Augusta, GA 30912

e-mail: clinderOaap.org

. American*. Academy of*. Pediatrics'.

_

*Alabama* Shannon Noble, M.D.* 1148 S. Shadesview Ter.: Homewood, AL 35209

: Javier Repetto, M. D.: 2713 Lake Crest Dr.* Tuscaloosa, AL 35406

*

00

July2001 AAPNews 37

-

On~~~~~~~lokAANewoOfPrfesina

A . i ZI

CHILD ABUSE PEDIATRICIANFull-time Faculty Position

The University of Miami Child Protection Team is seeking a BC/BEpediatrician who has a non-restricted Florida medical license andhas completed a three-year pediatric residency. This full timefaculty member will be part of a multidisciplinary team chargedwith assessing forensic child abuse treatment. Salary competitive.Qualified candidates please send curriculum vitae to:Walter F. Lambert, M.D., University of Miami, CPT,1150 NW 14th St., Suite 212, Mlaml, FL 33136;Ph: (305) 243-7550; e-mall: w1lambert0med.miami.edu;or Fax: (305) 243-7548.

UNIVRSITY OF

SCHOOL OF MEDICINE

The University of Miami is an equal opportunity/affirmative action employer. We offer an excellentboenefits package Includilng tuition remission and thirteen paid hnolidays.

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References: 1. Greenberg RN. Overview of patient compliance with medication dosing: a literature review.Clin Ther. 1984;6:592-599. 2 ftice.Alert"A. San Bruno, Calif: First DataBank; June 15, 2000;12:10,12,15,77.

ZffHROMAX"{azithromsycis for oral suspension)

BRIEF SUMMARY

INDICATIONS AND USAGEZITHROMA)( (azithromycin) is indicated for the treatment of patients with mild to moderate infections (pneumonia:see WARNINGS) caused by susceptible strains of the designated microorganisms in the specific conditions listedbelow. As recommended dosages, durations of theragy. and applicable gatient populations vary among theseinfections, please see DOSAGE AND ADMINISTRATION for speific dosing recommendations

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

Community-acquired pneumonia due to Chlamydia pneumoniae, Haemnophilus influenzae, Mycoplasmapneumoniae, or Streptococcus pneumoniae in patients appropriate for oral therapy. (For specific dosagerecommendation, see DOSAGE AND ADMINISTRATION.)

NOTI'- Azithromycin should not be used in pediatric patients with pneumonia who are judged to beinappropriate for oral therapy because of moderate to severe illness or risk factors such as anyof the following: patients with cystic fibrosis, patients with nosocomially acquiredinfectons, patients with known or suspected bacteremia, patients requiring hospitalization, orpatients with significant underlying health pfoblems that may compromise their ability tofespond to their illness (including immunodeficiency or functional asplenia).

Pharyngitis/tonsilliitis caused by Streptococcus pyogenes as an alternative to first-line therapy in individualswho cannot use first-line therapy. (For specific dosage recommendations, see DOSAGE AND ADMINISTRATION.)

NOTE: Penicillin by the intramuscular route is the usual drug of choice in the treatment of Streptococcuspyogenes infection and the prophylaxis of rheumatic fever. ZITHROMAX" is often effective in the eradication ofsusceptible strains of Streptococcus pyogenes from the nasopharynx. Because some strains are resistant toZITHROMAX", susceptibility tests should be performed when patients are treated with ZITHROMAX". Dataestablishing efficacy of azithromycin 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 with ZITHROMAX18 may be initiated before results of thesetests are known, once the results become available, antimicrobial therapy should be adjusted accordingly.

CONTRAINDICATIONSZITHROMAX" is contraindicated in patients with known hypersensitivity to azithromycin, erythromycin, or anymacrolide antibiotic.

WARNINGSSerious allergic reactions, including angioedema, anaphylaxis, and derTnatologic reactions including Stevens JohnsonSyndrome and toxic epidermal necrolysis have been reported rarely in patients on azithromycin therapy. Althoughrare, fatalities have been reported. (See CONTRAINDICATIONS.) Despite initially successfulsymptomatic treatment of the allergic symptoms, when symptomatic therapy was discontinued, the allergicsymptoms recurred soon thereafter in somne patients without further azithromycin exposure. These patientsrequired prolonged periods of observation and symptomatic treatment. The relationship of these episodes to the longtissue half-life of azithromycin and subsequent prolonged exposure to antigen is unknown at present.

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

In the treafament of pneumonia, azithromycin has only been shown to be safe and effective in the treat-ment of community-acquired pneumonia due to Chlemydia pneumonies, Haemophilus influenzoo,Mycoplasmepneumoniso, or Streptococcuspnsumonias in patients appropriate for oral therapy.Azithromycin should not be used in padents with pneumonia who are judged to be inappropriate for oraltherapy because of moderate to severe illness or risk factors such as any of the following: patients withcystic fibrosis, patients with nosocomially acquired infections, patients with known or suspectedbacteremis, patierns requiringl hospitalization, elderly or debilitated patients, or patients with significantunderlying health problerns that may compromise their ability to respond to their illness (includingimmunodeficiency or functional asplenia).

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

Treatment with antibacterial agents alters the normal flora of the colon and may permit overgrowth 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 initiated.Mild cases of pseudomembranous colitis usually respond to discontinuation of the drug alone. In moderate to severecases, consideration should be given to management with fluids and electrolytes, protein supplementation, and treat-ment with an antibacterial drug clinically effective against Clostridium difficile colitis.

PRECAUTIONSGeneral: 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 with renal impairment; thus, caution should beexercised when prescribing azithromycin in these patients.

The following adverse events have not been reported in clinical trials with azithromycin, an azalide; however, theyhave been reported with macrolide products: ventricular arrhythmias, including ventricular tachycardia andtorsades de pointes, in individuals with prolonged AT intervals.

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

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

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

Administration of cimetidine (8G0 mg) two hours prior to azithromycin had no effect on azithromycin absorption.Azithromycin did not affect the plasma levels or pharmacokinetics of theophylline administered as a single

intravenous dose. The effect of azithromycin on the plasma levels or pharmacokinetics of theophylline administered inmultiple doses resulting in therapeutic steady-state levels of theophylline is not known. However, concurrent use ofmacrolides and theophylline has been associated with increases in the serum concentrations of theophylline.Therefore, until further data are available, prudent medical practice dictates careful monitoring of plasmatheophylline levels in patients receiving azithromycin and theophylline concomitantly.

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

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

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

Laboratory Test Interactions: There are no reported laboratory test interactions.Carcinogenesis, Mutagenesis, Impairment of Fertility- Long-term studies in animals have not been performed toevaluate carcinogenic potential. Azithromycin has shown no mutagenic potential in standard laboratory tests: mouselymphoma assay, human lymphocyte clastogenic assay, and mouse bone marrow clastogenic assay.No evidence of impaired fertility due to azithromycin was found.Pregnancy: Teratogenic Effects. Pregnancy Category B: Reproduction studies have been performed in rats and miceat doses up to moderately matemally toxic dose levels (i.e., 200 mg/kg/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 animal studies, no evidence

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ADVERSE EVENTS in patients following expo-sures to insect repeliets containing DEET.PEGUS Research, Inc. is studying adverseevents following exposures to DEET. We areseeking information from physicians regard-igptients who may have experienced neu-

irofogpical, systemic or unusual symptoms. Withtheir cconsent, patients will be asked to partic-ipate in a telephone interview. For additionalinformation, or to refer a potential case, pleasecall Dr. Brent Page or Staci Steele at PEGUSResearch at (800) 949-0089.

tions include Board Certification in Pediatrics:Board Certification/eli&ibility in Pediatric CriticalCare and demonstrateci or potential excellence inacademic scholarship, clinical care and teaching.Women and minorities are encouraged to apply.Contact: Keith Kocis, M.D., M.S., Chief , Divisionof Pediatric Critical Care Medicine, UNC-CH CB#7220, Chapel Hill, NC 27599-7220, UNC is anEqual Opportunity/ADA Employer.SOUTHWESTExcellent opportunity for a BC/BE PediatricGastroeneoogist. Work and live in the beau-tiful, catlcommunity of Santa Barbara,California. Santa Barbara Cottage Children'sHospital is expanding their tertiary pediatricservices on the Central Coast of California.

Maj'or subspecialty services currently existincluding: 23-bed, Level III NICU, 8-bed PICU,and 20-bed General Pediatric Unit. 24-hourICU/Hospitalist coverage is available. SantaBarbara is one of the most desirable locations onthe Pacific Coast. Outstanding benefits andhighly competitive salary (will commensuratewith level of training). Contact: Geseile Cassidyat (866) 922-1493 or e-mail: SwiftSB@aol.com.

August - The Cleveland Clinic FoundationDivision of Pediatrics presents the SeventhAnnual Pediatric Board Review, August 27-31, 2001, at the Wyndham Cleveland Hotel inCleveland, Ohio. For further information,

NORTHEASTNew York: Excellent opportunity for a BE/BC andhardworking pediatrician to join a busy solo pedi-atrician in Western New York, Near Niagra Falls.Competitive salary and benefits package. SendCVto: Ped49, P.O. Box 149, BelAXir, MD21014.

MEDICAL DIRECTOR, CONTRACTED SER-VICES -The Bronx Community HealthNetwork (BCHN) is seeking a part-time MedicalDirector to administer the clinical component ofcommunity health centers' medical servicescontracts. The individual will collaborate withthe centers' medical directors and administra-tors to ensure implementation of health careand quality improvement plans and initiatives,and compliance with BCHN, Public HealthService and other regulatory agencies' policiesand standards. Position reports to the ExecutiveDirector. Candidates must be Board Certified inFamily or Internal Medicine and licensed topractice in New York State. Administrative,quality assurance/improvement and commu-nity or public health experience preferred.Bronx Community Health Network, Inc., 3411Wayne Ave., Ste. 146, Bronx, New York 10467,Phone: (718) 231-5482; Fax: (718) 405-5790.

SOUTHEASTBC/BE Pediatrician For A Busy Practice Northof Atlanta -Competitive salary/bonus/bene-fit package. Send CV to: Anne; P.O. Box 1269;Canton, GA 30114.

ENERGETIC BC/BE PEDIATRICIAN WANTEDto join dynamic academically-oriented, nation-ally-respected practice in Dade, Broward andPalm Beach County, Florida. Unparalleledlifestyle for primary care pediatrician with excep-tional salary and benefits. Reply to: PediatricAssociates, PA, 4620 North State Rd. 7 Ste.316, Lauderdale Lakes, FL 33319, Attention:Peter Shulman, M.D. Physician Recruiting; orfax a current CV to (954) 967-2624.

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ACADEMIC PEDIATRIC INTENSIVISTS -TheUniversity of North Carolina at Chapel Hill seeksan additional 3 academic pediatric intensivists atthe Assistant or Associate Professor rank to joinexisting faculty in expariding the academic andclinical missions of the Division of Pediatric CriticalCare Medicine. Exceptional individuals interestedin providing outstanding clinical care to the chil-dren of North Carolina while pursing high qual-ity basic science or clinical research are invited toapply. Clinical care is provided in a new, state ofthe art 16 bed PICU in North Carolina Children'sHospital (opening in 2001). Minimum qualifica-

of harm to the fetus due to azithromycin was found. There are, however, no adequate and well-controlled studies inpregnant women. Because animal reproduction studies are not always predictive of human response, azithromycinshould be used during pregnancy only if clearly needed.Nursing Mothors: It is not known whether azithromycin is excreted in human milk. Because many drugs are excretedin human milk, caution should be exercised when azithromycin is administered to a nursing woman.Pediatric Use: (INDICATIONS AND USAGE)

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

Community-Acquired Pneumonia (dosage regimen: 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5): Safetyand effectiveness in the treatment of children with community-acquired pneumonia under 6 months of age have notbeen established. SafetV and effectiveness for pneumonia due to Chlamydia pneumoniaeand MPoplasim pneumoniaewere documented in pediatric clinical trials. Safety and effectiveness for pneumonia due to Haemophilus influenzaeand Streptococcus pneumoniae were not documented bacteriologically in the pediatric clinical trial due to difficulty inobtaining specimens. Use of azithromycin for these two microorganisms is supported, however, by evidence from ade-quate and well-controlled studies in adults.

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

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

ADVERSE REACTIONSIn clinical trials, most of the reported side effects were mild to moderate in severity and were reversible upondiscontinuation of the drug. Approximately 0.7% of the patients (adults and children) from the multiple-dose clinicaltrials discontinued ZITHROMAX" (azithromycin) therapy because of treatment-related side effects. Most of the sideeffects leading to discontinuation were related to the gastrointestinal tract, e.g., nausea, vomiting, diarrhea, orabdominal pain. Potentially serious side effects of angioedema and cholestatic jaundice were reported rarely.Clinical: Adults Multiple-dose regimen. Overall, the most common side effects in adult patients receiving amultiple-dose regimen of ZITHROMAX" were related to the gastrointestinal system with diarrhea/loose stools (5%),nausea (3%), and abdominal pain (3%) being the most frequently reported.

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

Side effects that occurred in patients on the single one-gram dosing regimen of ZITHROMAX" with a frequency of1% or greater included diarrhea/loose stools (7%), nause-a (5%), abdominal pain (5%), vomiting (2%), dyspepsia (1%),and vaginitis (1%).Single 2-gram dose regimen: Overall, the most common side effects in patients receiving a single 2-gram dose ofZITHROMAX" were related to the gastrointestinal system. Side effects that occurred in patients in this study with afrequencyof 1% orgreater included nausea (18%), diarrhea/loose stools (14%), vomiting (7%), abdominal pain (7%),vaginitis (2%), dyspepsia (1%), and dizziness (1%). The majority of these complaints were mild in nature.Children: Multiple-dose regimens, The types of side effects in children were comparable to those seen in adults,with different incidence rates for the two dosage regimens recommended in chiklxn.

Acute Otitis Media: For the recommended dosage regimen of 10 mg/kg on Day 1 followed by 5 mg/kg onDays 2-5, the most frequent side effects attributed to treatment were diarrheaLAoos sftols (2%), abdominal pain (2%),vomiting (1%), and nausea (1%).

Community-Acquired Pneumonia: For the recommended dosage regimen of 10 mglkg on Day 1 followed by5 mg/kg on Days 2-5, the most frequent side effects attributed to treatment werodliarrhea/loose stools (5.8%),abdominal pain, vomiting, and nausea (1.9% each), and rash (1.6%).

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

With either treatment regimen, no other side effects occurred in children treated with ZITHROMAXI with afrequency greater than 1%. Side effects that occurred with a frequency of 1% or less included the following:Cardiovascular Chest pain.Gastrointestinal: Dyspepsia, constipation, anorexia, flatulence, and gastritis.NervOUS System: Headache lotitis media dosage), hyperkinesia, dizziness, agitation, nervousness, insomnia.General: Fever, fatigue, malaise.Allergic: Rash.Skin and Appendages: Pruritus, urticaria.Special Senses: Conjunctivitis.Post-Marketing Experience: Adverse events reported with azithromycin during the post-marketing period in adultand/or pediatric patients for which a causal relationship may not be established include:Allergic: Arthralgia, edema, urticaria, angioedema.Cardiovascular Arrhythmias including ventricular tachycardia.Gastrointestinal: Anorexia, constipation, dyspepsia, flatulence, vomiting/diarrhea rarely resulting in dehydration,pseudomembranous colitis and rare reports of tongue discoloration.General: Asthenia, paresthesia and anaphylaxis (rarely fatal).Genitourinaryr. Interstitial nephritis and acute renal failure, moniliasis, vaginitis.Hematopoistic: Thrombocytopenia.Uver/Billiary: Abnormal liver function including hepatitis and cholestatic jaundice, as well as rare cases of hepaticnecrosis and hepatic failure, which have rarely resulted in death.Nervous System: Convulsions, dizziness/vertigo, headache, somnolence, hyperactivity, nervousness, and agitation.Psychiatric: Aggressive reaction and anxiety.Skin/Appendages: Pruritus, rarely serious skin reactions including erythema multiforme, Stevens JohnsonSyndrome, and toxic epidermal necrolysis.Special Senses: Hearing disturbances including hearing loss, deafness, and/or tinnitus, rare reports of tasteperversion.Laboratory Abnormalities: Adults: Significant abnormalities (irrespective of drug relationship) occurring during theclinical trials were reported as follows: with an incidence of 1-2%, elevated serum creatine phosphokinase, potas-sium, ALT (SGPT), GGT, and AST (SGOT); with an incidence of less than 1%, leukopenia, neutropenia, decreasedplatelet count, elevated serum alkaline phosphatase, bilirubin, BUN, creatinine, blood glucose, LDH,and phosphate.

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

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

In multiple-dose clinical trials involving almost 3300 pediatric patients, no patients discontinued therapy becauseof treatment-related laboratory abnormalities.

DOSAGE AND ADMINISTRATION (See INDICATIONS AND USAGE.)Acute Otitis Media and Community-Acquired Pneumonia: The recommended dose of ZITHROMAXI for oral sus-pension for the treatment of children with acute otitis media and community-acquired pneumonia is 10 mg/kg as asingle dose on the first day (not to exceed 500 mg/day) followed by 5 mg/kg on days 2 through 5 (not to exceed 250mg/day).Pharyngitis/Tonsillitis: The recommended dose for children with pharyngitis/tonsillitis is 12 mg/kg once a day for 5days (not to exceed 500 mg/day).ZffHROMAX" for oral suspension should be given at least I hour before or 2 hours after a meal.ZITHROMAX for oral suspension should not be taken with food.Formore detailedprofessional informmation please refer to the full prescribing information.Revised July 2000

@ (orniitted to Ki ds gZC225AOO(B 2000 Pfizer Inc.

July2001 AAPNews 39

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(eficcy ha'seas frourlitl patestoak !)COVERAGE OF KEY RESPIRATORY PATHOGENS

T Y P I C A L |- AT Y P I C A LStreptococcus pneumoniae Chlamydia pneumoniaeHaemophilus influenzae Mycoplasma pneumoniaeMoraxella catarrhalis|

. BETTER COMPLIANCE MAY IMPROVE PATIENT OUTCOMES'* COSTS LESS THAN MOST BRAND-NAME ANTIBIOTICS'* PROVEN TOLERABILITY

In acute otitis media, the most common side effects are diarrhea/loose stools (2%), abdominal pain (2%),vomiting (1 %), and nausea (1 %). In community-acquired pneumonia, the most common side effects are diar-rhea/loose stools (5.8%), abdominal pain, vomiting, and nausea (1.9% each), and rash (1.6%).ZithromaxO (azithromycin for oral suspension) is contraindicated in patients with known hypersensitivityto azithromycin, erythromycin, or any macrolide antibiotic.

Zithromax is indicated for pediatric infections such as acute otitis media due to H influenzae, M catarrhalis, or Spneumoniae, and community-acquired pneumoniadue to Cpneumoniae, Hinfluenzae, Mpneumoniae, or Spneu-moniae.Oral azithromycin should not be used in pediatric patients with pneumonia who are judged to be inappropriate fororal therapy because of moderate to severe illness or risk factors such as any of the following: patients with cys-tic fibrosis, patients with nosocomially acquired infections, patients with known or suspected bacteremia, patientsrequiring hospitalization, or patients with significant underlying health problems that may compromise their abil-ity to respond to their illness (including immunodeficiency or functional asplenia).

ZItho

Please see brief summary ofprescribinginformation on adjacent page.