District of ColumbiaMelisse Sloas Baylor, M.D.3003Van Ness St., NW, #W417Washington, DC 20008

Wendy Marie Rivers, M.D.George Washington University2150 Pennsylvania Ave., NWWashington, DC 20037

MarylandMichael C. Braun, M.D.4525 Dorset Ave.Chevy Chase, MD 20815-5449

Jennifer Prioe Corder, M.D.906 Waterview Dr.Crownsville, MD 21032

Cheryl Pradeepika Dias, M.D.20300 Georgia Ave.Brookeville, MD 20833-1727

Deborah Rose Eezzuduemhoi, M.D.6200 Westchester Park Dr., #1006College Park, MD 20740

Curt MaxwellWatkins, M.D.201 Pine Bluff Rd., Suite 28Salisbury, MD 21801

New JerseyPatrina Konnick, M.D.24 Concord Dr.Kendall Park, NJ 08824

Tamara Stevens Loving, M.D.718 N. Beers St.Holmdel, NJ 07733

Elenito P. Maddatu, M.D.742 Durham TerraceBrick, NJ 08724-1064

Dear Academy Fellow:In order to fulfill the admission requirements of AAP Bylaws, you are requested to: 1) carefully reviewthe following list of new applicants for Academy membership and 2) relay your reactions directly to your DistrictChairperson, whose name and address is at the end of this list.

In submitting these names of board-certified pediatricians to you, it is understood that academic and pediatric cre-dentials are not in question. Comments are requested ooncerning possible legal and/or ethical situations of whichyou might have personal knowledge. Send any comments on the following list of new applicants to your DistrictChairperson by January 15.

Sherif S. Nasr, M.D.374 Ryder's LaneEast Brunswick, NJ 08816-2202

Lorna A. Nayan, M.D.57 Anderson Ave.Englewood Cliffs, NJ 07632

Perline R. Ramalanjaona, M.D.3264Woffson Dr.Baldwin, NY 11510

Stephanie Lynn Rosen, M.D.100 B Haven Ave., #3Port Washington, NY I11050

NewYork 3

Sung-Moon Choo, M.D.546 Saw Mill River Rd.Millwood, NY 10546

Mariellen M. Lane, M.D.101 W. 79th Street, #18-BNewYork, NY 10024

Jessica Mercedes Orbe, M.D.141 E. 55th Street, #5-FNewYork, NY 10022

Karen Baker Pasieka, M.D.110 S. Bedford Rd.Mt. Kisoo,NY 10549

Orna Rosen, M.D.1 00 Prospect TerraceTenafly, NJ 07670

Jeffrey Alan Schor, M.D.47 Piccadilly Rd.Great Neck, NY 11023

Osvaldo R.Trigo, M.D.934 Manhattan Ave.Brooklyn, NY 1 1 222

al

Rose Mylaine Q. Maddatu, M.D.742 Durham TerraceBrick, NJ 08724-1064

Miguela Ligot Paragas, M.D.21 Stone Dr.West Orange, NJ 07052

PennsylvaniaRandi Allison Axelrod, M.D.8809 Hawthorne Ln.Wyndmoor, PA 19038-7147

Mary Catherine Boyle, M.D.2342 Saddle Dr.Allison Park, PA 15101-2924

Jeffrey Dale Hord, M.D.3520 Fifth Ave.Pittsburgh, PA 15213

Nagamani Kasi, M.D.150 Post Oak Dr.Beaver Falls, PA 15010-1256

Amish Natwar Nishwala, M.D.374 Meadowbrook Dr.HuntingdonValley, PA 19006

Frances Gold Rosenblum, M.D.587 Bethlehem Pike, #1200Montgomeryville, PA 18936

Martha Ann Brier Sauter, M.D.Physicians Health Alliance239 Main St.Dickson City,PA 18519

Jan Neil Widerman, D.O.10800 Bustleton Ave.Philadelphia, PA 191 16-3302

Florida

Concepcion S. Anayas, M.D.90 Goddard Dr.De Bary, FL 32713

Bernard Lee Atwell, M.D.1717 No. E Street, #530Pensacola, FL 32501

Arturo Brito, M.D.MCCD, Rm. 3034-A1601 NW 1 2th Ave.Miami, FL 33136-1005

Allah Bakhsh Haafiz, M.D.4803 St. Johns Ave., #4APalatka, FL 32177

Gerald James Lavandosky, M.D.10354 Brasilia St.Cooper City, FL 33026-4554

Sergio Rodriguez, M.D.1275 N.W. 1 70th Ave.Pembroke Pines, FL 33028

JenrvyT.Velez, M.D.1219 Salemo Ct.Orlando, FL 32806,

Otolaryngology Speca/ty FellowJ. Davidi Moser, M.D.67 W. Miller St.Orlando, FL 32806

GeorgiaSyed Shaukat Ali, M.D.705 1 7th Street, #406Columbus, GA 31901

Yaritza E. Colon, M.D.201 Sabre Dr.Bonaire,GA 31005

Ann Davidson Critz, M.D.Dept. of Neonatology20 Linden Ave., #2703Atlanta, GA 30308

Ghulam MustafaJarwar, M.D.210 Southland Station Dr., #128WarnerRobins,GA 31088

Stacey Walker Johnson, M.D.1810 Mulkey Rd., Suite 201Austell, GA 30001

Amy Bishop Kewin, M.D.1559 Brentwood Dr.Marietta, GA 30062

Lisa Davvn Miller, M.D.3160 N. Oak Ct., SEConyers, GA 30094

Guy Howard Sommers, M.D.2150 Peachford Rd., Suite AAtlanta, GA 30338

KentuckyDaniel Craig Brown, M.D.Kentucky ClinicDept. of PediatricsLexington, KY 40536

Anavatti L. Raghuveera, M.D.Mary Bredd<nridge Hospital100 Hospital Dr.Hyden, KY 41749

South CarolinaHajar K. Raissi-Fard, M.D.2212 Hillcrest Ave.Orangeburg,SC 29115

Tennessee

Virgil Lee Bigham, IV, M.D.1004 N. Highland Ave.Murfreesboro,TN 37130

Mona Adib Choueiry, M.D.1400YellowTwig Ln.Dyersburg,TN 38024

Maha Sahl Dennaoui, M.D.C/O John Caroll507 Picture Ridge Dr.Chattanooga, TN 37421

VirginiaHussien Ali Al-Shammaa, M.D.Farmville Shopping Center208 South St.Farmville,VA 23901

Alakananda Bagchi, M.D.10209 Eisenhower Ln.Great Falls,VA 22066

Christopher K. Foley, M.D.Pediatric Critical Care601 Children's Ln.Norfolk,VA 23507-1980

Donna Leigh Tildon-Archer, M.D.1701 N. George Mason Dr.Arlington, VA 22205

Jeannette Marchand-Mateyak, M.D.Pierson Clinic Pediatrics131 KerchevalGrosse Pointe Farms, Ml 48236

George Charles Powers, M.D.768 TrombleyGrosse Pointe Park, MI 48230

Alakh N.Varma, M.D.48338 DeclarationMacombTwp., Ml 48044

Ohio

Bradley Earl Dickson, M.D.116 Wetmore Rd.Columbus, OH 43214

Micheline Joseph Maamari, M.D.93 Bishopgate Dr., #109Cincinnati, OH 45246

Prantik Saha, M.D.1218 Forsythe Ave.Columbus, OH 43201-3203

OntarioHassan A.AI-Trabolsi, M.D.602-211 St. Patrick St.Toronto,ON M5T2Y9Canada

Peter Dion Neame, M.D.Unit 13, 60 Dundas St.Dundas, ON L9H 71V6Canada

Jen-Jar Lin, M.D.PO Box 32Moberly, MO 65270

NebraskaKurtAllan Davey, M.D.1727 N. 54th St.Omaha, NE 68104

WisconsinZahida Perveen Haq, M.D.9611 W. Hampton Ave., #212Milwaukee, WI 53225

DavidTick, M.D.407 N. Main St.Thiensville,WI 53092

ConnecticutCraig Michael Keanna, M.D.10 Quarry Dock Rd.Branford, CT 06405

Margaret Mary O'Neill, M.D.55 Concord St.West Harfford, CT 06119-1306

Margaret Ann Jacobson Sanyal, M.D.30Village Pond Rd.Guilford, CT 06437

Uniformed Services East

Jeffrey A. Bornstein, M.D13501 Stockbridge Ct.Silver Spring, MD 20906-5831

Thomas Daniel Hickey, M.D.203 Rankin Ct.New Bem, NC 2856048900

Tracy Leigh Martin, M.D.502 S. Fremont Ave., #229Tampa, FL 33606

MassachusettsSharon Marre Campion, M.D.25 Colby St.Northborough, MA 01532

John Nicholas Cavuto, M.D.790 Boylston St., Apt. #1 2BBoston, MA 02199-7912

Carolyn Henning F-razer, M.D.Children's Hospital300 Longwood Ave., Fegan 10Boston, MA 021 15-1707

Beth Anne Freire, M.D.8 Chiswick Rd., Apt. 6Brooldine, MA 02146-1128

James E. Gray, M.D.Beth Israel Medical Center3300 Brooldine Ave.Boston, MA 02215

Marc James Grella, M.D.76 W. RulMand Square, #303Boston, MA 02118

Benjamin Scheindlin, M.D.281 Cambridge St.Burlington, MA 01803

H. Holly Shim, M.D.Tri-County Pe-diatric Assoc., PC907 Sumner St., M-102Stoughton, MA 02072

Ronald J. Sunog, M.D.179 Quincy St.Brockton, MA 024202

Alabama

Henry Luis Gomez, M.D.11 117 Belleville Ave.Brewton, AL 36426

Suha Rayyis Newhide, M.D.2418 Chestnut Ridge Pi.Birmingham, AL 35216

Rubina Siddiqui, M.D.Pell City Pediatrics2850 Hospital Dr.Pell City, AL 35125-1438

Niraj Philip Xavier, M.D.P.O. Box 16172Huntsville, AL 35802-1649

Arkansas

Aliye Uc, M.D.1505W. 11th St.Litde Rock, AR 72202

LouisianaSue Joan Jue, M.D.1501 Kings Hwy., POB 33932Shreveport, LA 711 30

Rajesh Kumar Sharma, M.D.44 MagnoliaTraoe Dr.Harvey, LA 70058-6100

Jayaprakash N.Yalamanchili, M.D.10853 E. Fuller PlaoeBaton Rouge, LA 70816-4228

MississippiElizabeth Anne Christ, M.D.University of MississippiDept. of Pediatrics2500 N. State St.Jackson, MS 39216

TexasSusan Jane DeWitt, M.D.U. of Texas Medical Schoolat Houston

6431 Fannin, MSMB 3.020Houston,TX 77030

Harold Ulrich Everett, M.D.1428 Drexel Pi.Tyler,TX 75701

Richard C. Hochberger, D.O.4200 Bryant Irvin Rd., #121Ft.Worth,TX 76109-4212

William L. Kerr, M.D.7580 Fannin, #230Houston,TX 77054

Edanili Sagun Lacar, M.D.4210 N. Main, #74Mc Allen, TX 78504-4628

Kathryn Hasson Levy, M.D.691 8 FlintcoveDallas,TX 75248

Illinois

Mayra A. Arzon, M.D.One Memorial Dr., #101Decatur, IL 62526

Bruce Bedingfield, D.O.33 W. Higgins Rd., #2020South Barrington, IL 60010-9342

Kevin Allen Butterfield, D.O.726 Briar Ln.Morris, IL 60450-1622

David George Rinaldi, M.D.742 S. Claremont Ave.Chicago, IL 60612

Darryl AnthornyWoods, M.D.10044 S. Leavitt St.Chicago, IL 60643

Kansas0. Keith Enlow, D.O.401 S. Clairborne, #200Olathe, KS 66062-1735

ManitobaPatricia Elizabeth Birk, M.D.Children's Hosp. of WinnipegPediatric Neph., Rm. AE208Winnipeg, MB R3A 1 S1Canada

MinnesotaSusan Lalli Streitz, M.D.2431 E. 1 st St.Duluth, MN 55812

Missouri

George C. Anderson, M.D.479 Algonquin PI.St. Louis, MO 63119

Shilpa Shashikant Desai, M.D.Apple Kids Peds140 Plaza Dr., #449Suite Genevieve, MO 63670

NewYork 1

Diane Sinatra Switzer, M.D.10525 Stoneway Dr.Clarence, NY 14031

Mark Judson Ward, M.D.105 Michael's Ave., #1Syracuse, NY 13208

NewYork 2.

Dalit Eyal, D.O.216-07 43rd Ave.Bayside, NY 11 361 -2925

Madhu B. Gudavalli, M.D.506 6th StreetBrooklyn, NY 11215-9008

Indiana

LarryW. Lynn,M.D.7840 E. US Hwy. 36Avon, IN 46168

MichiganColleen M. Barry,M.D.350 Whitehills Dr.East Lansing, Ml 48823-2758

Christina Ann Buysse, M.D.1650 Coogan Dr.Mifford, Ml 48381

Celeste Doreen Lopez,M.D.27704 California, ELathrupVillage, Ml 48076

36 AAPNews Deoember1997

L

Helena Helga Liptakova, M.D.225 N. Mesa Hills, #2223El Paso, TX 79912

Eduardo Martin Perez, M.D.2111 Holly Hall St., #3202Houston,TX 77054-3967

Joann M. Sanders, M.D.801 7th Ave.Ft. Worth, TX 76104

Andrea L.Watson, M.D.3005 Old Alice Rd., #90OFBrownsville, TX 78521-1505

ArizonaDelfino Candelaria, Jr., M.D.11 14W.Waltann Ln.Phoenix, AZ 85023

Sara E. Quadros Park, M.D.815 N. 52nd Street, #2209Phoenix, AZ 85008-677

MariaToonTaylor, M.D.7927 E. Mason St.Tucson,AZ 85715-4556

ColoradoLora Heeter Melniooe, M.D.7072 E. Mexico Avez.Denver, CO 80224

Sunil Nayak, M.D.499 E. Hampden Ave., Suite 290Englewood,CO 80110

HawaiiSteve Edward Clark, M.D.1827 Wells St.Wailuku, Hi 96793

IdahoPennie Lyn Schultz, M.D.15230 Drury LaneCaldwell, ID 83605-8373

New MexicoGillian Electa Mair, M.D.1138 Burke Dr.Gallup, NM 87301

Edward Eugene Mc Namara, M.D.409-C de Baca Ln., NWAlbuquerque, NM 87114-1600

NevadaTheresa Marie Stamato, M.D.Children's Heart Center3006 S. Maryland Pkwy., #690LasVegas, NV 89109

Kathleen R. Maginot, M.D.Children's Heart Center3006 S. Maryland Pkwy., #690LasVegas, NV 89109

OregonMiriam A. Fults, M.D.1844 Happy Lane, #13Eugene, OR 97401

Elizabeth Rodney Herz, M.D.580 S.W. 1 st Street, #9Lake Oswego, OR 97034

UtahJulie Ann Gustin, M.D.9720 So. 1300 E., #E-100Sandy, UT 84094

Leslie Worthen Webster, M.D.Pediatric & Adolesoent Med.U. of Utah Summit Health Center1750 W. Sunpeak Dr.Park City, UT 84098

WashingtonJamesWallaoe Bennett, M.D.1629 Madrona Dr.Seattle,WA 98122

Pilin Chang, M.D.12245 N.E. 3rd St.Bellevue,WA 98005

_California 1

Daniel Agee Coles, M.D.P.O. Box 7259Santa Cruz, CA 95061-7259

Lora K. Eichner, M.D.300 Homer Ave.Palo Afto, CA 94301

Diana Fonbuena Enrile, M.D.7433 Shoreline Dr.Stockton, CA 95219-4586

Douglas Sayre Gross, M.D., Ph.D.38371 LaRueWayDavis,CA 95616-9422

Linda Buchanan Smith, M.D.950 Oliver Ave.San Diego, CA 92109-5023

Califoria 4

Cynthia Edralin Sison, M.D.181 S. Lewis St., #215Orange, CA 92868

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

DISTRICT 11Louis Z. Cooper, M.D.St. Lukes Roosevelt Hospital1000 Tenth Ave.NewYork, NY 10019

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

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

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

Cindy Korte, M.D.608 Angela St.Davis, CA 95616-4488

Erlinda Manalo, M.D.3837 Fourteen Mile Rd.Stockton, CA 95219-3808

Maria Anne Raslear-Hendrickson, M.D.3564 Montero Rd.Carneron Park, CA 95682-4020

Rosilyn Maria Ryals, M.D.1 170 9th Street, #15Alameda, CA 94501

California 2Shahla Heshmati, M.D.7451 Via Rio NidoDowney,CA 90241-2149

Karen L. Richardson, M.D.10720 Paramount Blvd.Downey, CA 90241-3306

Elaine Levenson Rosen, M.D.18370 Burbank Blvd., #307Tarzana,CA 91436

California 3Kimberly Ann DeJongle Breneisen, M.D.4520 CoronadoSan Diego, CA 92107

Patricia MichelleWang Chu, M.D.1347 Savannah Ln.Carlsbad, CA 92009

Victoria Ramos Oira, M.D.1098 Waterville Lake Rd.Chula Vista, CA 91915-121 1

DISTRICTVI

OrdeanTorstenson, M.D.1313 Fish Hatchery Rd.Madison,WI 53715

DISTRICT VIICarden Johnston, M.D.Children's Hospital of Alabarna1600 7th Ave., SouthSuite 001Birmingharn,AL 35233-1711

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

DISTRICT IX

Lucy S. Crain, M.D.170 San Benito WaySan Francisoo, CA 94127-2016

AmericanAcademy ofPediatrics

Hyatt, Washington, D.C. The seminar isjointly sponsored by the University ofTexas Southwestern Medical Center atDallas, Texas, the accrediting institution,and the National Pediatric InfectiousDiseases Foundation. CME/AAP creditoffered. For information you may consuftthe Web site: http://www.cwiweb.com/npids or call (317) 578-3075; telefax(31 7) 578-3802.

partnership opportunity. Beautiful loca-tion with easy access to wilderness,whitewater, snow skiing, hunting andfishing. The Pediatric and AdolescentCenter, Bill Bourquard, M.D./ornTilden,M.D., (208) 322-5437; Palmer Morrow,administrator, (208) 381 -1526.Will enter-tain inquires now.

Accem the best in pediatrics...

Illinois

Pediatrician -1/6 coverage. Thirty-physician multi-specialty group. 1 20K +50% bonus + fringes. Fax c.v. to Dr.Jacobs, (914) 833-1711; voice (914)833-1 700; (800) 333-2999.

Kentucky

Hazard Pediatrics -needs a pediatri-cian in Hazard, Ky., in a fairly ruralsetting. Send reply to Hazard Pediatrics,

P.O. Box 2748, Pikeville, KY41502-2708.

Maryland

Pediatrician - $1 25K. 1/5 call.Waterfront. Easy access DC/Baltimore.Fax c.v. to Dr. Jacobs, (914) 833-171 1;voioe (914) 833-1700; (800) 333-2999.

(Continued on next page.)

FebruaryAdolescent Medicine Seminar(Seventh Annual Lloyd Noland)-Buena Vista Palace, Waft Disney World,Florida, Feb. 4-7, 1998. Faculty: Drs.Jean Emans, MacKenzie, Lynch, Biroand John Emans. Call/write: George M.Converse, M.D., FAAP, Department ofMedical Education, Lloyd NolandFoundation, P.O. Box 925, Fairfield, AL35064; (205) 783-5276.

8th Dartmouth Waterville conference:"Contemporary Issues in OfficePediatrics" -Feb. 26- March 1, 1998.Sponsored by the AAP New HampshireChapter and Children's Hospital atDartmouth. Contact: Kat Barton, N.H.Pediatric Society, 45 Lyme Road, Suite304, Hanover, NH 03755. Phone (603)643-2325; fax (603) 643-1444; e-mail atcb4maEaol.com

MarchPediatrics Seminar: "Advances &Changing Trends" (Ninth Annual LloydNoland) -at the Buena Vista Palace,Walt Disney World, Florida, March 18-21, 1998. Faculty: Drs. Duffner, Redding,Reiter, Ruley and Treadwell. Call/write:George M. Converse, M.D., FAAP,Department of Medical Education, LloydNoland Foundation, P.O. Box 925,Fairfield, AL 35064; (205) 783-5276.

AprilPediatrics Update (Fifth Annual LloydNoland) -Hilton Head Island, S.C.,April 22-25, 1998. Faculty: Drs. Howard,Senac, Smith, Stockman and Weston.Call/write: George M. Converse, M.D.,FAAP, Department of Medical Education,Uoyd Noland Foundation, P.O. Box 925,Fairfield, AL 35064; (205) 783-5276.

Washington, D.C: 18th AnnualNational Pediatric Infectious DiseaseSeminar- April 15-18, 1998, Grand

Colorado

BE/BC Pediatrician -to join a busypractice in the Colorado foothills. 1:4 callschedule, practice conveniently locatednext to the hospital. Pleasant communityof 30,000-35,000. Fax resume to RogerNoland (719) 269-1730.

Rock;y Mountain Area: Nonprofit indi-gent care -pediatric clinic needsBC/BE pediatrician. Position availableimmediately. Limited hospital service andnight call. Located in college town of100,000 in foothills of Rocky mountains.Full benefit package including pensionand 403(b). Send resume to Dr. DeborahCrawford, Children's Clinic, 400Remington, Fort Collins, CO 80524. Fax:(970) 484-9811.

Florida

Tampa: Pediatric Urgent Care- Staffand Director positions available, full- orpart-time in evenings and weekend/holi-day clinics. Treatments include fractureand laceration management, intra-venous rehydration and prolongedasthma therapy. After Hours Pediatrics,Inc., (813) 4()4-2023.

Idaho

Boise -Board Certified/Board Eligiblepediatrician to join busy pediatric prac-tice in Boise. Guaranteed salary with

December AAP News 37

ChildrerisrsiIllinois

at

U | C The University of IllinoisCollege of Medicine at Peoria

PEDIATRIC FACirULTY-CmRITICAL rCAREThe department of Pediatrics, University of Illinois College of Medicine at Peoria

(UICOM-P) is offering a full time position in Pediatric Critical Care at the AssistantProfessor, Associate Professor or Professor level.Active regional outreach and transport system and cardiac surgery programs.

Significant opportunities exist for teaching, patient care, and clinical research.Must be Board certified or Board eligible in Pediatric Critical Care Medicine. Rank and

Salary commensurate with prior experience and qualifications.The University of Illinois is an Affirmative Action/Equal Opportunity employer.

Applications will be received until a qualified applicant is identified. Position availableimmediately. Send Curriculum vitae and three letters of reference to:

G. Kris Bysani, M.D.Director and Chief, Section of Pediatric Critical CareUniversity of Illinois College of Medicine at Peoria

Children's Hospital of Illinois530 N.E. Glen Oak Avenue, Peoria, IL 61637

Phone 1-800-438-3745 or FAX 1-309-685-2574

PEDI~ATR IC SHospital-based Rounder

KIUSER PERMANENTEMid-Atlantic Permanente Medical Group, P.C.

Michigan

BE/BC Pediatrician needed -to join aBC pediatrician in his well-established,busy practice in Escanaba, Mich., popu-lation 15,000, located on lake Michigan.Successful candidate would be expectedto see an estimated 25-30 patients perday and be comfortable with neonatalresuscitation, as there will be nurserycoverage. Many intensive proceduresare referred to hospitals in Green Bay,Milwaukee, and Marshfield, Wis. Theoffice is in a $6 million Medical Clinic thatopened in January 1995 and is con-nected to OSF St. Francis Hospital, a1 1 0-bed facility, located on an 82-acrewooded site. Most lab and X-ray work isdone in the hospital, however there iscasting equipment in the office.Escanaba's recreation seems unlimitedwith the Escanaba Municipal Marinaoffering 145 boat slips for seasonal andtransient boaters, public swimmingbeach, fishing from miles of publiclyowned shoreline, charter fishing, waterskiing, and much more. There are 412acres of parks and recreation facilities,picnic grounds, playgrounds, soccer andbaseball/softball fields, golf courses anda community recreation center for youngand old. This position is employed byOSF Medical Group with a salary start-ing at $120,000 and a comprehensivebenefits package. Please contact:

Wendy Bass at (800) 462-3621 or faxc.v. to (309) 685-2574.

Nebraska

Lincoln -Acute care, after hours pedi-atric clinic seeks BE/BC pediatrician.Clinic is hospital based; some emer-gency pediatrics is involved. Scheduleallows time for personal pursuits. Goodschools, low crime rate, cultural advan-tages of a university city. No J-1 visaapplications at this time. Contact StevePetruconis at (402) 486-7700, SaintElizabeth Community Health Center,555 South 70th, Lincoln, NE 68510.

New Jersey

Northwestern New Jersey -Practiceopportunities with competitive compen-sation package available for BE/BCpediatricians. Send C.V. to: Ellen Pelka,Northwest Covenant Medical Center,SSM Ambulatory Care CorporateOffices, 715 Route 10 East, Randolph,NJ 07869; fax (973) 442-2330; phone(973) 442-2376.

New Mexico

The Department of Pediatrics at theUniversity of New Mexico HealthSciences Center seeks BE/BC pediatri-cians for ambulatory division, including

Young Children's Health Center (YCHC),a community-based program serving alow-income, predominantly Latino com-munity. Duties include: clinical care ofchildren, ages 0-17, and teaching. ForYCHC, preferences are: bilingual inEnglish/Spanish, 2 years or more gen-eral pediatrics experience; experiencewith public sector programs, with under-served populations and with ethnic orlanguage minorities; knowledge of devel-opmental disabilities in minoritypopulations; experience with school-based health programs; and experiencein management and with multi-agencycollaboration. Positions will remain openuntil filled. Pool will be active until May29, 1998. Applications will be acceptedthroughout this period. For completeinformation, interested individuals shouldobtain a vacancy announcement anddirect inquiries and/or C.V. with signatureand at least 3 letters of support to: CarlaSlezak, Administrator, Department ofPediatrics, University of New Mexico,School of Medicine, ACC-3rd Floor,Albuquerque, NM 87131-531 1. Phone(505) 272-5551; fax (505) 272-6845; ore-mail: cslezaki?salud.unm.edu. Listemployment dates by month/year andindicate the requisition number971 955*13 and job title on all correspon-dence. AA/EOE.

North Carolina

l'he Mid-Atla.ntic PermanenteMedical Group,. P.C:., a physicianiowNsned and managed medlicalgroup,. is growinig and expandingour facilities in the Was*hingtonmetro7 area. Ale are seekin'g topquality Pediatricians to be partsof our teani prolviding health-care to o)ur Pediatric patientsadmitted to Holy CrossHospital in SilverSpring, MD; andWashington Hospital . TCenter anld Children'smNational M4edicalCenter in Washington.D.C.As part of oLir teami, you willinteract closely with our off-ice-based Pediatricians. You willhave easv access to; consultationswith a widle varietv ofs spec:iillists,a>; well as the opportunity to apply

your sklills in utilization anid iman-agem-ent issues.We offer an enhancedl salar pacok-age as well as a co)mprehensivebenefits package including four-

week>; vadcatioii. sick and per-sonal leave, relozcation

9 allowanice! shareholdere oppo)rtuinity., and mnuch-U Fmore. Natioenally rec-

ognived for quality care,r .Kaiser Permanente; pres;ents ani idealMopportunity to pralc-_ tice medicine. To

learn imore, send/faxyour CV to Dorotlhy

Houlihan, Physician Recruitment,MAPMG, 2101 E. JeffersoilStreet, Bsox 6649, Rockville, MiD20849. 1-800-227-6472. Fax3()1-E816-7472. wwew.ka>iseron-line.com F.OE

el '._X 'Mu^ ;IR ,FT or PT -Join group of four in familyoriented community with more Fortune500 companies per population/squaremile than any other county in the state!Competitive compensation package,including residency loans. MelisaCiarrocca, (800) 764-7497; fax (910)291-7499; e-mail: mciarrocca@?ncon-line.com

Ohio

Pediatrician -BE/BC for well estab-lished Community Health Center. Call1-3, with strong oompensation package.Small historic family community infoothills of southern Ohio within an hourand a half of two major metro areas. CallLisa Gold at Christopher and Long (888)821-1992; fax (800) 800-2661. EOE

Pennsylvania

Lancaster -Dynamic 6-member pedi-atric practice seeks to add recentlytrained BC/BE Pediatrician by July 1998.Nursery/teaching opportunites included.Competitive salary/benefits, etc. (717)291-5931, Office Manager.

Penn State Geisinger Health System- in Central Pennsylvania is recruitingfor primary care pediatricians with strong

May 19-23, 1998 * Chapel Hill, North Carolina

Co-sponsored by the School of Nursing and the Center forDevelopmental Science University of North Carolina at Chapel Hill

NINR, NIH Funded

This five-day program is designed for young investigators, junior fac-ulty and advanced Ph.D. students in health related and social sciencefields interested in developing a research career focused on the healthand development of infants, children, and teens. Institute facultyincludes national and international experts.Registration, room and board are fully funded. Travel stipends will beprovided.

Acceptance is competitiveTo apply, send 1 ) letter of interest, 2) CV, and 3) relevant papers/pub-lication to:

Margaret S. Miles, R.N., Ph.D.Center for Developmental ScienceUniversity of North Carolina at Chapel HillCB 8115Chapel Hill, NC 27599-8115

Deadline for applications: February 5,1998For more information, send e-mail to: mmiles.uncson@?mhs.unc.edu

educational and mentoring skills for clin-ical practice opportunities in StateCollege, Lock Haven and Montoursville.These practices refer to our Danvillebased Children's Hospital and GeneralPediatrics Department. Opportunities foroffice based student/resident rotations,shared night, weekend, and call, hospi-tal attending opportunities, and at themain campus, continuing educationalopportunities, make these positions par-ticularly appealing. Penn State GeisingerHealth System is a physician-led, not-for-profit health care organization. Thesystem provides tertiary, primary andpreventative care to more than 3 millionpeople through a system of hospitals,community practices and the nation'slargest rural HMO. Penn State GeisingerHealth System has created a managedcare system that fosters the kind ofhuman atmosphere that makes medi-cine a rewarding career for people whoview health care as a calling, not a job.For additional information regarding our

pediatric opportunities, please contactPenn State Geisinger Health System,Professional Staffing and Credentialing(PD-AB) at (800) 845-7112. C.V.'s can beforwarded to 100 N. Academy Ave.,Danville, PA 17822-1528; or fax (800)622-2515. E.O.E. M/F/H/V

Pediatrician: Eastern Pennsylvania-$130K+ multispecialty group. 1:5 call.Fax c.v. to Dr. Jacobs: (914) 833-171 1;voice (914) 833-1700; (800) 333-2999.

State College: Penn State GeisingerHeafth System -is currently seeldng aBC/BE Pediatrician to join its multispe-cialty group practice in State College,Penn. Join two other pediatric physiciansin this busy medical practice. Call isshared with nearby sister clinic and is1:5. Administrative opportunity availableif desired. State College, located in theheart of Pennsylvania, is home to PennState University. The area offers atremendous amount of educational, cul-

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38 AAP10News December1997

University of Arkansas and ArkansasChildren's Hospital (ACH)

Are recruiting a fifth Pediatric Intensivist for a tenure-track academicposition commensurate with experienoe/background. Eligible candi-dates must be BC/BE in Pediatrics and Critical Care Medicine andcommitted to excellence in research, teaching, and clinical care.

With an accredited fellowship program, laboratory space, grant fund-ing and collaborative agreements with the ACH Research Institute,the Critical Care Section is committed to neurobiology, respiratoryphysiology, outcomes and health services research. Novel modalitiesincluding mobile ECMO, HFOV, nitric oxide, liquid ventilation andneruoprotection are offered for 1200-1400 patients/year in the onlyPICU serving Arkansas and neighboring states.

We offer an attractive salary, benefits, CME allowanoe and protectedtime for research. Little Rock has an international flavor, steady com-mercial development, excellent schools, safe neighborhoods and allkinds of cultural and outdoor activities. Please send CYV and lettersof reference to:

K.S. Anand, MBBS, D.Phil., FAAP, FRCPCHSection Chief, Critical Care Medicine * Department of PediatricsArkansas Children's Hospital, S-431Little Rock, AR 72202-3591Phone (501)320-1008 - Fax (501) 320-3188

New JerseyCentral New Jersey -25+ years established solopediatric practice/office for sale. Average gross over$200,000. Respond to: AAP News, Box 090197,141 Northwest Point Blvd., Elk Grove Village, IL60007.

Texas

Dallas Suburb - Busy General Pediatric practicefor sale. Associated with expanding modern Level II

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ZITHROMAX"(azithromvycin for oral suspension)

BRIEF SUMMARY

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

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

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

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

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

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

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

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

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

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

In the treatrnent of pneumonia, azithromycin has only been showfn to be safe and effective in the treatmoent ofcommunity-acquired pneumonia due to Chlamydinpneumonise, Heomophilus influenzae, AMycoplasmepneumonine, or Streptococcus pneumonhie in patients appropriate for oral therapy. Azithromycin should not beused in patients with pneumonia who are judged to be inappropriate for oral therapy because of moderate tosevere illness or risk factors such as any of the following: patients with cystic fibrosis, patients withnosocomially acquired infections, patients with known or suspected bacteremia, patients requiringhospitalization, elderly or debil-dated patients, or patients with significant underlying health problenms that maycompromise their ability to respond to their illness (including immunodeficiency or functional asplenia).

Pseudomembranous colitis has been reported with nearly all antibacterial aglents and may range in severityfrom mild to life-threatening. Therefore, it is important to consider this diaginosis in patients who present witdiarrhea subsequent to te administration of antibacterial agents.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

tural and recreational activities to enjoy. StateCollege provides an excellent business climate andoffers a superior quality of life. We offer a competi-tive salary and excellent benefits package. Foradditional information, please contact: Penn StateGeisinger Professional Staffing (PD-AB), 100 NorthAcademy Ave., Danville, PA 17822-1528. Phone(800) 845-7112; fax (800) 622-2515. E.O.E.M/F/H/V

Virginia

Richmond area -Part- /full-time BC/BE pediatri-cian for dynamic, growing practice. Competitivesalary with eventual partnership. Hospitals with fullservice pediatrics, NICU, PICU. Attractive, plannedcommunities. Excellent schools and recreationalfacilities. Nearby Medical College of Virginia.Extremely light call. Send C.V. or call Judith F.McGhee, M.D., 4902 Millridge Parkway, Midlothian,VA 23112; (804) 744-1231 or fax (804) 744-9521.

Northern Virginia -Thriving pediatric practice inSterling, Va., with a reputation for exoellence, look-ing for BC/BE pediatrician to add to our team.Approximately 30 minutes west of Washington,D.C., just minutes from the scenic rural oountrysideof the Blue Ridge Mountains. Many cultural andrecreational opportunities; exoellent neighborhoodsand schools. Position is available now with a flexiblestarting date. Flexible hour's, competitive salary/ben-efits package. Please contact Shara Messick at(703) 444-2100 or 444-3245, or send C.V. toPediatric HealthCare, PC; 46440 Benedict Dr., Suite207, Sterling, VA 20164.

Washington

Vancouver - Experience the best of theNorthwestl Practice in a stimulating professionalenvironment in one of the most successful man-aged care systems in the country and enjoy aquality lifestyle inherent to the beautiful PacificNorthwest! Our physician-managed multispecialtygroup providing care for 420,000 KaiserPermanente members has a full-time position avail-able for a BC/BE pediatrician in our medical officesin Vancouver, Wash. In addition to general pedi-atrics, the practice will include some urgent carecall. We offer our physicians a competitive salaryand a benefits package which includes a generousretirement program, professional liability coverage,sabbatical leave and more. For information regard-ing these exciting opportunities, please forward C.V.to: A.P. Weiland, M.D., Regional Medical Director,Northwest Permanente, P.C., 500 N.E. Muftnomah,Suite 100, Portland, OR 97232-2099. EOE.

Foreign

China

Beijing -Exciting opportunity for BC pediatricianto join the staff of the Bejing United Family Hospitalrecently opened in Beijing, China.The hospital is thefirst of its kind in China and provides western stan-dard health care to its large expatriate community.Family practice, obstetrics and pediatric servicesare offered in a new, modern facility with clinics andinpatient facilities, including comprehensive ORs,LDRPs, laboratory facilities and a family pharmacy.No language requirement. Favorable salary andexpatriate benefits package. Send or Fax C.V. toRecru-iting, U.S.-China Industrial Exchange, Inc.,7201 Wisconsin Ave., Suite 703, Bethesda, MD20814. Fax (301) 215-7719.

community hospital. Medical school teaching (clin-ics) available. Flexible terms. Inquires to: AAP News,Box 08017, 141 Northwest Point Blvd., Elk GroveVillage, IL 60007.

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References: 1. Data on file. Pfizer Inc, New York, NY. 2. McLinn S, Williams D. High incidence ofStreptococcus pneumoniae and Haemophilus influenzae (beta-lactamase) resistance in recent otitis mediaclinical trial isolates. Presented at the 35th Interscience Conference on Antimicrobial Agents andChemotherapy; September 17-20, 1995; San Francisco, Calif. Abstract. 3. Hardy DJ, Hensey DM, BeyerJM, Vojtko C, McDonald EJ, Femandes PB. Comparative in vitro activities of new 14-, 15-, and 16-membered macrolides. Antimicrob Agents Chemother. 1988;32:1710-1719. 4. RetsemaJ, Girard A,Schelkly W, et al. Spectrum and mode of action of azithromycin (CP-62,993), a new 1 5-membered-ringmacrolide with improved potency against gram-negative organisms. Antimicrob Agents Chemother.1987;31:1939-1947. 5. McLinn S. Double blind and open label studies of azithromycin in themanagement of acute otitis media in children: a review. Pediatr Infect Dis J. 1995;14:S62-S66.6. Khurana C, McLinn S, Block S, Pichichero M. Trial of azithromycin (AZ) vs Augmentin (AUG) fortreatment of acute otitis media (AOM). Presented at the 34th Interscience Conference on AntimicrobialAgents and Chemotherapy; October 4-7, 1994; Orlando, Fla. Abstract.

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

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

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

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

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

Studies evaluating the use of repeated courses of therapy have not been conducted.Geriatric Use: Pharmacokinetic parameters in older volunteers (65-85 years old) were similar to those in younger volunteers(18-40 years old) for the 5-day therapeutic regimen. Dosage adjustment does not appear to be necessary for older patientswith norrnal 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 clinical trialsdiscontinued ZITHROMAX" (azithromycin) therapy because of treatment-related side effects. Most of the side effectsleading to discontinuation were related to the gastrointestinal tract, e.g., nausea, vomiting, diarrhea, or abdominal pain.Potentially serious side effects of angioedema and cholestatic jaundice were reported rarely.Clinical: Adults: Multiple-dose regimen: Overall, the most common side effects in adult patients receiving a multiple-doseregimen of ZITHROMAX"were related to the gastrointestinal system with diarrhea/loose stools 15%), nausea (3%), andabdominal pain (3%) being the most frequently reported.

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

Side effects that occurred in patients on the single one-gram dosing regimen of ZITHROMAX" with a frequency of 1% orgreater included diarrhea/loose stools 17%), nausea (5%), abdominal pain 15%), vomiting (2%), dyspepsia (1%), and vaginitis(1 V)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 afrequency of 1% or greater included nausea (18%), diarrhea/loose stools (14%), vomiting (7%), abdominal pain (7%),vaginitis (2%), dyspepsia (1%), and dizziness (1%). The majority of these complaints were mild in nature.Children: Multiple-dose regimens. The types of side effects in children were comparable to those seen in adults, withdifferent incidence rates for the two dosage regimens recommended in children.

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

Community-Acquired Pneumonia: For the recommended dosage regimen of 10 mg/kg on Day 1 followed by 5 mg/kg onDays 2-5, the most frequent side effects attributed to treatment were diarrhea/loose stools (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 Days 1-5, the most frequent side effectsattributed to treatment were diarrhea/loose stools (6%), vomiting (5%), abdominal pain (3%), nausea (2%), andheadache (1 %).

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

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

related liver enzyme abnormalities and 1 because of a renal function abnormality.Children: Significant abnormalities (irrespective of drug relationship) occurring during clinical trials were all reported at a

!frequency of less than 1%, but were similar in type to the adult pattern.DOSAGE AND ADMINISTRATION {See INDICATIONS AND USAGE.)

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

1More detailed professional information available on request.Revised January 1997

So charg ahead5with your planls tO, advertse:,iiiAlzAP - -0;;0 00fV ai t:A,Wn:4 w111 00i~~0; 0 0 0 00

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December AAP News 39

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Predictable Results:Proven as effective as

Augrnentiinsl 5,6:1

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

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The most frequent side effects are

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

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