N EVV F EL LO WVS - AAP News

Dear Academy Fellow: 

In order to fulfill the admission requirements of AAP Bylaws, you are requested to: 

Carefully review the following list of new Fellows for Academy mem-bership, and relay your 

reactions directly to your District Chairperson, whose name and address is at the end of this 

Katherine Noble, M.D. 

Ark Towers West 

1-3-40 Roppongi #1 101 

Minato-ku 

Tokyo 1 060032 

Japan 

Connecticut 

Anton Alerte, M.D. 

15 Prospect St., Unit 3 

New Britain, CT 06102 

Ena Chow, M.D. 

Pediatric Association of 

Conn., P.C. 

160 Robbins St. 

Waterbury, CT 06708 

Laura Dunphy, M.D. 

41 Pickering Ln. 

Wethersfield, CT 06109-3680 

Eduardo Figueroa, M.D. 

101 N. Racebrook Rd. 

Woodbridge, cT 06525-1407 

Carolina Gapud, M.D. 

2201 Autumn Chase 

115 W. Rd. 

Ellington, CT 06029-3763 

Jennifer Hausladen, M.D. 

1066 Hartford Turnpike 

North Haven, cr 06473-3038 

Jason Perkel, M.D. 

P.O. Box 986 

Middlebury, CT 06762-0986 

Charles Schubert, M.D. 

35 Plants Dam Rd. 

East Lyme, CT 06333-1428 

Ramindra Walia, M.D. 

47 Town St. 

Norwich, CT 06360 

Maine 

Jennifer Jewell, M.D. 

69 Wall St. 

Portland, ME 04103-2314 

Massachusetts 

Kate Ackerman, M.D. 

Div. of Emergency Medicine 

300 Longwood Ave. 

Boston, MA 02115-5724 

Nancy Akbari, M.D. 

357 Harvard St., Apt. 1 

Cambridge, MA 02138-4222 

Rebeca Alvarez Altalef, M.D. 

127 Carolin-a Ave. 

Jamaica Plain, MA 02130 

Leila Bodie, M.D. 

21 Bay View Ave. 

Plymouth, MA 02360-2920 

Femando Catalina, M.D., Ph.D. 

100 Hospital Rd., Ste. 4 

Leminster, MA 01453 

Atima Delaney, M.D. 

Div. of Emer Medicine 

300 Longwood Ave. 

Boston, MA 02115 

Jill Diamond, M.D. 

4 Longfellow Pi., #310 

Boston, MA 02114-2838 

:Siv Fasci, M.D. 

:139 Chestnut Ave., #3 

*Jamaica Plain, MA 02130 

:Amy Fleischman, M.D. 

25 Alton Court, #3 

.Brookline, MA 021 15 

Michael Freedman, M.D. 

.477 Southwick Rd. 

.Westfield, MA 01085 

*Lisa Hassler, M.D. 

:7 Stockton St. 

.Boylston, MA 01505-2003 

*Jocelyn Healey, M.D. 

:82 Bay St. 

*Hull, MA 02045 

:Peter Kang, M.D. 

:2 Wellington St., #8 

*Boston, MA 021 18-3011 

:Jonathan Megerian, M.D. 

*2 Walnut St. 

.Burlington, MA 01803-3218 

Patricia Mullins, M.D. 

.12 Hawthorne St. 

:Malden, MA 02148-3808 

.Stephen Silberman, M.D. 

:Town Center Pediatrics 

:162 Cordaville Rd. 

P.O. Box 296 

*South Borough, MA 01772 

*Alcy Torres, M.D. 

:44 Linden Sq. 

*Wellesley, MA 02482 

Jonathan Winickoff, M.D. 

50 Staniford St., Ste. #901 

.Boston, MA 021 14-2517 

.Rhode Island 

Daniel Dickstein, M.D. 

.27 Burlington St., #2 

.Providence, RI 02906-3609 

.Malini Gillen, M.D. 

:1 Ea,gle Nest Dr. 

LincoTn, RI 02865-3728 

*Lisa Keswick, M.D. 

:Barrington Peds 

*334 D. County Rd. 

*Barrington, RI 02806 

James Tsai, M.D. 

*15 Cedar Pond Dr., Apt. 12 

:Warwick, RI 02886-0830 

Uniformed Services- 

*East Chapter 

*John Ancona, M.D. 

:85 Baker Ave. 

.Groton, CT 06340-3920 

rkCristian rCanzoniero, AA.D. 

:1 M.D.OS/SGOMF 

.Langley AFB, VA 23665 

*Jeffrey Cleary, M.D. 

:1006\ternon Dr. 

*Jacksonville, NC 28540 

:Rachel Gorwitz, M.D. 

1600 Clifton Rd., NE, MS C-23 

*Atlanta, GA 30333 

:Jennifer Hunt, M.D. 

*PSC 1 18,Box 431 

*APO, AE 09137-0400 

N EVV F EL LO WVS 

:Todd Kelley, M.D. 

:3171 Nightingale Way 

.Beavercreek,OH 45431-4312 

:Eduardo Sinaguinan, M.D. 

:18 Coach Ln. 

*Upper Saddle River, NJ 07458 

:Misty Zelk, M.D. 

*1012Beechwood Ave. 

:Little Rock, AR 72205-1906 

*V\ermont 

:Stephen Wood, M.D. 

:252 Orchard Hill 

*Pittsford, VT 05763 

.New York 1 

:Cynthia Bliss, M.D. 

60 Woodsmeadow Ln. 

*Rochester, NY 14623-2746 

:Bina Fenn, M.D. 

*20 Journey Ln. 

:Glenrnont, NY 12077-3502 

Cynthia Fox, M.D. 

.401 Clayton Manor Dr. S 

:Apt. 4 

Liverpool, NY 13088-3333 

*Bryan Holland, M.D. 

:30 Jane Lacey Dr., Apt. W 

*Endicott, NY 13760-3734 

:Andree Jacobs-Perkins, M.D. 

4 Sugiarbush Ln. 

.Pitts Ord, NY 14534-3522 

Nalini Lopes, M.D. 

*10 Broadview Ln. 

:Red Hook, NY 12571-4101 

.Anita Moonjely, M.D. 

:7 Grayhill Ct. 

:Liverpool, NY 13090-3919 

*Barbara Morisseau, M.D. 

:4240 Peach Blossom Ave. 

.Syracuse, NY 13215-9560 

*Christopher Springer, M.D. 

:5 Honorine Dr. 

Depew, NY 14043-4132 

:New York 2 

.Ramappa Chandra, M.D. 

:270 First St., Apt. 2C 

.Mineola, NY 11501-2358 

:MingChen, M.D. 

:78 Florence Dr. 

Syosset, NY 1 1791-4817 

:Stephen Grello, D.O. 

.260 Maple St. 

Islipi, NY 1 1751 -4702 

Judith Hugh-Goffe, M.D. 

.176 Mitchell St. 

*West Orange, NJ 07052 

Rina Jaffe, M.D. 

:61 West 62nd St., #10OA 

.New York, NY 10023 

*Christine Maroon, M.D. 

:1025 Reynolds Rd., Apt. S7 

.Johnson City, NY 13790-3108 

:Carolyn Milana, M.D. 

17 Ronald Ln. 

*Syosset, NY 1 1791-3518 

list. In submitting these names of bo'ard-certified pediatricians to you, it is understood that 

academic and pediatric credentials are not in question. Comments are requested concerning 

possible legal and/or ethical situations which you might have personal knowledge. 

Send any comments on the following list of new Fellows to your District Chairperson. 

*Tulika Narain, M.D. 

.155 E. Woodside Ave. 

Patchogue, NY 1 1772 

Mariya Odnopozova, M.D. 

:476 Cedarhurst Ave. 

.Cedarhurst, NY 1 1516 

:Diana Volpert, M.D. 

2173 Poe Ave. 

*East Meadow, NY 11554-5165 

.New York 3 

:Yasminl Bhathena, M.D. 

:132 Mulford Rd. 

*Middletown, NY 10940-6136 

:Jennifer Canter, M.D. 

.140 Prospect Ave., 

:Penthouse 12 

*Hackensack, NJ 07601 

*Salwa Chawich, M.D. 

:5614 Riverdale Ave., 3rd Fl. 

.Bronx, NY 10471-2106 

*Gina Costello, M.D. 

:44 East End Ave., Apt. 2E 

*New York, NY 10028-7977 

:Jennifer Davis, M.D. 

27 Oakwood Blvd. 

*Poughkeepsie, NY 12603-41 1 1 

:Manuel DeCastro, M.D. 

*95 Grasslands Rd., Box #570 

:Valhalla, NY 10595 

*David Fagan, M.D. 

:180 W. Olive St. 

Long Beach, NY 1 1561 -3314 

*Jason Felson, M.D. 

:70 Gilbert St. 

*Monroe, NY 10950 

.Maida Galvez, M.D. 

:Mount Sinai Hospital 

.One Eustave L Levy Pi. 

:New York, NY 10029 

Michele Gorlitsky, M.D. 

8 Fox Ct. 

*Suffern, NY 10901-4141 

.Andrew Hart, M.D. 

:120 W. 109th St., Apt. 4-W 

.New York, NY 10025-2560 

:Rohan Jayasena, M.D. 

:910 Circle Dr., Apt. A6 

.Sidney, NY 13838-1646 

:Marjorie Joseph, M.D. 

*515 W. 59th St., Apt. 4K 

:New York, NY 10019-1047 

Rolando Mallari, M.D. 

1 119 Lavender Ln. 

*Absecon, NJ 08201-4319 

*Mirjana Nesin, M.D. 

:525 E. 68th St., N506 

*.New York, NY 10021-4870 

*Emily Puntillo, M.D. 

:286 Hall Ave. 

*West Hamson, NY 10604-2222 

:Philippe Similon, M.D. 

1 1 11 Park Avenue 

*New York, NY 10128 

:Tiffany Megary, M.D. 

1 Orchard Dr. 

Wilmington, DE 19803-2539 

:District of Columbia 

Thomas Bender, M.D. 

:390 Taylor St. NE, #U22 

Washington, DC 20017-1571 

:Jennifer Kaplan, M.D. 

:3212 Klingle Rd., NW 

*Washington, DC 20008-3403 

:Maryland 

Sanjay Aggarwal, M.D. 

:328 Stonecastle Av 

Reisterstown, MD 21136-3512 

:Michael Beardsley, M.D. 

:688 Charingworth Ct. 

*Westminster, MD 21158-3034 

Renette BelIizai re M .D . 

9005 Rouen Ln. 

:Potomac, MD 20854-3131 

Louise Chamberlain, M.D. 

14200 London Ln. 

.Rockville, MD 20853-2026 

Suzie Chang, M.D. 

:6240 Plaited Reed 

Columbia, MD 21044-3712 

Peter Chung, M.D. 

:230Washington Hts;. Med. Ctr. 

*Westminster, MD 21157-5633 

:Maria Dawis, M.D. 

:7402 43rd Ave., Apt. 2C 

Elmhurst, NY 11373 

:Fulgencio DelCastillo, M.D. 

35 Straw Hut Rd., #31D 

*Owings Mills, MD 21 117-2827 

Elizabeth Fox, M.D. 

*5480 Wisconsi n Ave ., #728 

*Chevy Chase, MD20815-3530 

Anwar Hasan, M.D. 

:21614 Liberty St., #213 

.Lexington Park, MD20653-1365 

:Victoria Lee, M.D. 

: 11801 RockvilIle Pike 701 

*Rockville, MD 20852 

Judit Sivo, M.D. 

:31 Orchard Way S 

*Potomac, MD 20854-6129 

.New Jersey 

.Jennifer Buccigrossi, M.D. 

:1 Oxford Ct. 

Medford, NJ 08055-3322 

:Lydia Chiang, M.D). 

:948 Belle Ave. 

Teaneck, NJ 07666-2535 

:Lisa Chou, M.D. 

*416 Northam Dr. 

:NorthBrunswick, NJ 08902-4238 

:Nancy Cozzini, M.D. 

140 Williamson Ave. 

.Bloomfield, NJ 07003-5139 

Sharon Filler, M.D. 

:2 Fairway Ct. 

*.Scotch Plains, NJ 07076-3001 

.Swati Gandhi, M.D. 

:580 Knollwood Rd. 

.Ridgewood, NJ 07450-4700 

:Samuel Garber, M.D. 

:420 Society Hi 

*Cherry Hill, NJ 08003-2410 

*Debra Harmady, M.D. 

:529 Highway 35 

.Red Bank, NJ 07712 

:Maria Henwood-Storto, D.O. 

:2213 Berwyn Ct. 

.Voorhees, NJ 08043-4666 

:Steven Materetsky, M.D. 

:81 Dora Ave. 

.Waldwick, NJ 07463-2234 

:Maria Micale, D.O. 

77Marc Rd. 

West Long Branch, NJ 

*07764-1113 

:Beata Puri, M.D. 

.4100 Rachel Ter., Apt. 10 

:Pine Brook, NJ 07058 

:Rebecca Reed, D.O. 

101 -1 Van Buren Rd. 

.Voorhees, NJ 08043 

:Alex Sarkodie, M.D. 

1407 Morris Ave., Apt. #307 

*Union, NJ 07083-3322 

:Alicja Uczkowska, M.D. 

41 1 Lanza Ave. 

*Garfield, NJ 07026-2401 

.Pennsylvania 

,Jennifer Ammons, M.D. 

:130 S. Fairmont St., Apt. 3 

.Pittsburgh, PA 15206 

*Michael Devon, M.D. 

:534 Cynwyd Cir. 

*.Bala Cynwyd, PA 19004 

:Susan Frangiskakis, M.D. 

:3705 Fifth Ave. D3224MPB 

.Pittsburgh, PA 15213 

*John Gallagher, M.D. 

:321 Ascot Ln. 

.Bridgewater, NJ 08807-3017 

Jaya Ganesh, M.D. 

:275 S. Bryn Mawr Ave. 

:Apt. H12 

*Bryn Mawr, PA 19010-4202 

:Alicia Hartung, D.O. 

:1820 President Dr. 

*Glenshaw, PA 151 16-2152 

:W. Michael Haught, M.D. 

:160 North Pointe Blvd. 

Ste. 1 10 

*Lancaster, PA 17601 -4134 

:Jennifer Hubbell, M.D. 

.500 University Dr. MCH085 

:RPO. Box 850 

*Hershey, PA 17033-2373 

.Shakthi Kumar, M.D. 

:166 Canterbury Turn 

*Lancaster, PA 17601 

*Alisa LoSasso, M.D. 

:1015 Edgewood Rd. 

Havertown, PA 19083 

.James Mortimer, C).O. 

:103 Camelot Dr. 

:Butler, PA 16001 

David Munson, M.D. 

*Children's Hospital of 

:Philadeplhia 

34th Civic Center Blvd. 

*Philadelphia, PA 19104 

August 2002 wwwaspnowsorg AAP News 95

Eric Noel, M.D. 

810 Pleasant Hill Rd. 

Wallingford, PA 19086 

Nancy Parker, M.D. 

254 Fountain St. 

Apt. 1 Back Door 

Philadelphia, PA 19128-4508 

Adam Ratner, M.D. 

223 Hampden Ave. 

Narberth, PA 19072-1909 

Timothy Richer, M.D. 

1730 Spruce St., #1 b 


Sue Tao, M.D. 

25 White Marsh Ln. 

Lansdale, PA 19446-1234 

Auren Weinberg, M.D. 

1536 Candace Ln. 

Yardley, PA 19067-4372 

West Virginia 

Kimberly James, M.D. 

220 Jordyn PI. 

Charleston, VWV 25302-4452 

Amy Kisner, M.D. 

101 50th St., SE 

Charleston, VWV 25304-2005- 

Kentucky 

1 PI I 'A1411:| 

Cara Kiligore, M.D. 

504 Bauer Ave. 

Louisville, KY 40207-3734 

Virginia Lilienthal, M.D. 

636 Oaks Country Club Rd. 

Murray, KY 42071-4643 

North Carolina 

Marty Baker, M.D. 

708 Camaross Dr. 

Charlotte, NC 28270-0398 

Brian Bowman, M.D. 

1021 W. Williams St., Ste. 105 

Apex, NC 27502 

Mark Bucy, M.D. 

411 Ashton Cir. 

Eden, NC 27288 

Christoph Diasio, M.D. 

195 W. Illinois Ave. 

Southern Pines, NC 28387 

Rebecca Keiffer, M.D. 

9 Topridge Ct. 

Greensboro, NC 27407 

Antoinette Laskey, M.D. 

4822 Butler St. 

Durham, NC 27707-5288 

Amy Scurlock, M.D. 

203 Village Crossing Dr. 

Chapel Hill, NC 27517-7558 

South Carolina 

Bryan Burnett, M.D. 

10706 Marlboro Ave. 

P.O. Box 1302 

Barnwell, SC 29812 

Ashley Clark, M.D. 

15 Tilden Ct. 

Simpsonville, SC 29680-6740 

Theodore DuBose, M.D. 

3909 Linbrook Dr. 

Columbia, SC 29204-4400 

C-E 

Lisa Herron, M.D. 

2867 Stratford Rd. 

Columbia, SC 29204-2345 

TennesseeE 

Suzanne Berman, M.D. 

293 Highland Sq. 

Crossville, TN 38555-5105 

Elizabeth Dykstra, M.D. 

310 25th Ave. N, Ste. 201 

Nashville, TN 37203 

Roy Friddell, M.D. 

1 50 N Crest Rd. 

Chattanooga, TN 37404 

Paul Hain, M.D. 

2916 Snowden Rd 

Nashville, TN 37204-3348 

Hussein Kammona, M.D. 

1608 Persimmon Ln. 

Knoxville, TN 37922-7126 

Stacey Williams, M.D. 

6920 Stone Creek Rd. 

Nashville, TN 37221-3321 

Virginia 

Ernette Benson-Foulk, M.D. 

4745 Longmont Rd. 

Virginia Beach, VA 23456-5017 

Suzanne Brixey, M.D. 

5187 James Wharf Rd. 

Exmore, VA 23350-3547 

Alka Patel, M.D. 

637D Kingborough Sq. 

Chesapeake, VA 23320-4907 

Pnhert Sullivan, AA.D. 

1212 McConviile Rd. 

Lynchburg, VA 24503 

Stephanie Sullivan, M.D. 

1212 McConville Rd. 

Lynchburg, VA 24502-4536 

Indiana 

'Matthew Abrams, M.D. 

699 West Dr., RR 208 

*Indianapolis, IN 46202-5128 

Anisha Amin, M.D. 

*2229 Teakwood Cir., Apt. B 

*Highland, IN 46322 

96 AAP News www.aapnews.org August 2002 

NEWV FELLONVSj 

Theresa Gutierrez, M.D. Ontario 

1 1526 Pennet Run 

Fort Wayne, IN 46845 :Uma Athale, M.D. 

:Dept. of Pediatrics 

Courtney Kleber, M.D. *1200 Main St. West 

203 W. County Rd., 925 N :HSC 3-N27D 

Seymour, IN 47274-7540 :Hamilton, ON L8S4J9 

Canada 

Ted Kremer, M.D.* 

4710 Shadow Pointe Dr. : _ __ 

Indianapolis, IN 46254-3741* 

Cardiology &Cardiac *Ilni 

Surgery Specialist: 

Mark Rodefeld, M.D. * Paul Aschinberg, M.D. 

545arnhllD., Eerso 354 Forest Rd. 

54Harnil Dr,1meso Hinsdale, IL 60521-3718 

Indianapolis, IN 46202 

:Jason Canel, M.D. 

Michigan *845 15th St. 

:Wilmette, IL 60091 

Yousuf Benyamin, M.D. 

704 Lamplighter Dr., Apt. 2.LarDvi,M . 

Troy, Ml 48083-1573 

10 Phillip Rd., Ste. 11 1 

' ~~~~~~: Vernon Hills, IL 60061 

Sandra Bliss, M.D.* 

3561 Burbank Dr. 

Christine Duong, M.D. 

Ann Arbor, MI 48105 :1233 W. Kelly St. 

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

1531 Avondale Ave. . Deborah Ehrlich, M.D. 

AnnArborl 48103 :101 5 S. Lincoln Ave. 

An Aro,M.80 Park Ridge, IL 60068-4514 

Julie Fecht, M.D.: 

470 E. Edgeworthe Dr., SE . Tracy Koogler, M.D. 

Grand Rapids, MI 49546 . 5 E. 14th PI., #805 

' . ~~Chicago, IL 60605-2864 

Deborah Boyd, M.D. :Dov Shapiro, M.D. 

3333 Burnet Ave. :2729 W. Greenleaf Ave. 

'Cicnai CicinatiOH OH42933 522-309 *Chicago, IL 60645-3013 

Michele Hensley, M.D. : Karen Wilson, M.D. 

' 1350 Ridge Rd. .1030 N. Clark, Ste. 400 

Lancaster, OH 43130-1361 *Ciao L66056 

,Mohammad Javaid, M.D. *Iw 

:547 Plyleys Ln., Apt. #67 

JilAeane,MD 

Chillicothe, OH 45601-2043 :Jl lxne,MD 

: ~ ~ ~ ~~~~~~ :121 ' Keokuk St. 

Chandy John, M.D. *Iowa City, IA 52240-3306 

Div. of Ped. Infectious 

Diseases : ~~Mustafa El-Dadah, M.D. 

'D1100Eases Ae M 00 3901 Woodland Ave., Apt. 5 

:Cleveland, OH 44106-1736 :WsDsMie,I 

' ' : ~~~~50266-1872 

:Keith Krist, M.D.* 

:1700 Swailes Rd. 

aTroy, OH 45373-9565 * 

Katherine Grandsaert 

S000 73rdSt., Ste.1 1 

'Jennifer Olsen, M.D. 

5787 Sylvia Dr. 

.Dublin, OH 43016 

*DeMis,A01 

Kansas 

Christopher Bird, M.D. 

700 W. Central, Ste. 210 

El Dorado, KS 67042-2184 

Kristin Davis, M.D. 

3417 W. 74th St. 

Prairie Vlg, KS 66208 

Kirsten Evans, M.D. 

5918 Longleaf Dr. 

Lawrence, KS 66049-5802 

Jeffrey Yannette, M.D. 

10827 W. 102nd St. 

Ovefland Parl

Mariada George, M.D. 

1500 Coulter, Ste. #1 

Amarillo, TX 79106 

Jessica Gonzalez, M.D. 

5807 Cliff Walk 

San Antonio, TX 78250-3923 

Nathaniel Kho, M.D. 

Dept. of Neurology 

2222 Wellborn St. 

Dallas, TX 75219 

Elizabeth Knapp, M.D. 

6835 Austin Center Blvd. 

Austion, TX 78731 

Rana Kronfol, M.D. 

2250 Holly Hall St., Apt. 287 

Houston, TX 77054-3974 

Van Lam, M.D. 

1735 Keller Springs, Ste. 100 

Carrollton, TX 75006-2962 

Leah Matthews, M.D. 

3247 Pebble Beach Ln. 

Pearland, TX 77584-7122 

Jorge Mendoza-Ramirez, M.D. 

10309 Mayfield Rd. 

Houston, TX 77043 

Jo-Ann Nesiama, M.D. 

7705 Yoakum Cir. 

Corpus Christi, TX 78413 

Maria Nguyen, M.D. 

19100 Glenwest Dr. 

Apt. 1312 

Fdendswood, TX 77546-7878 

Carmen Pdeto-Jimenez, M.D. 

Dept. of Peds. 

4800 Alberta Ave. 

El Paso, TX 79905 

Judith Reva, D.O. 

3900 White Settlement Rd. 

Apt. 96 

Fort Worth, TX 76107-7821 

Haydee Rimer, M.D. 

5440 Hitcher Bend 

Austin, TX 78749-4229 

Muzzian Siddiqi, M.D. 

7500 Kirby Dr., Apt. 1627 

Houston, TX 77030 

Michael Sprehe, M.D. 

7171 Buffalo Speedway 

Apt. 726 

Houston, TX 77025-1424 

Emily Todd, M.D. 

4130 Ridgepoint Dr. 

Pearland, TX 77584-5955 

Michael Wagnon, D.O. 

1214 Ashford Dr. 

San Angelo, TX 76901-5308 

David Weisoly, D.O. 

3707 Paigewood Dr. 

Peariand, TX 77584-9461 

Kristin Wilke, M.D. 

19238 Stone Hue 

San Antonio, TX 78258 

Alaska 

Tamara Cohn, M.D. 

900 Snohomish Ave., Unit 3 

Wasilia, AK 99654 

Arizona 

Rene Bartos, M.D. 

7788 E. Entrada de Ventana 

Tucson, AZ 85750-6420 

Michelle DeWolf, D.O. 

4200 N. 82nd St., Unit 1006 

Scottsdale, AZ 85251-2770 

: Jeffrey Foti, M.D. 

: Phoenix Childrens Hospital- 

: Outpatient Bldg. 

1919 E. Thomas Rd. 

Phoenix, AZ 85016 

Subir Mitra, M.D. 

15650 N. Black Canyon 

Hwy., Ste. 1 00 

Phoenix, AZ 85053 

Theresa Murdock, M.D. 

5870 W. Orchid 

Chandler, AZ 85226-1254 

British Columbia 

Vugranam Venkatesh, M.D. 

14555 32rd Ave. 

Surrey, BC V4A 1 Z9 

Canada 

Colorado 

Neurology Specialist 

Robert Clyman, M.D. 

1825 Marion St. 

Denver, CO 80218-1122 

Janani Tuladhar, M.D. 

5650 W. Ninth Ave. 

Lakewood, CO 80214 

New Mexico 

Rebecca Moran, M.D. 

1315 Richmond Dr. NE 

AJbuquerque, NM 87106-1808 

Oregon 

Surgery Specialist 

David Bliss, M.D. 

501 N. Graham, Ste. 300 

Portland, OR 97227 

Uniformed Services-West 

Catherine Riley, M.D. 

P.O. Box 12982 

Everett, WA 98206 

Utah 

Ann Anderson-Berry, M.D. 

943 S. Lake St. 

Salt Lake City, UT 84105-1215 

Kristin Lynch, M.D. 

1988 S. 800 E 

Salt Lake City, UT 84105-3138 

Washington 

Matthew Allen, M.D. 

2104 N. 82nd St. 

Seaftle, WA 98104 

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

9516 165th St Ct. E 

Puyallup, WA 98375 

James Chattra, M.D. 

8301 1 61 st Ave., NE, Ste. 202 

Redmond, WA 98052 

Kerry Drain, M.D. 

5317 S. Palouse Hwy., #240 

Spokane, WA 99223 

Mirna Ramos-Diaz, M.D. 

3392 S. Olden Way Rd. 

Toppenish, WA 98948 

Charles Rapp, M.D. 

8614 E. Mill Plain Blvd., #400 

Vancouver, WA 98664 

John Schreuder, M.D. 

2553 76th Ave., SE 

AAprrpr Idind WA QAnW_?7;;AR 

: 

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0 0 

NEVV- FELDDVVS 

Wyoming 

Jennifer Peterson, M.D 

1308 West Fourth St. 

Gillefte, WY 82716 

California 1 

Wendy Cerny, M.D. 

4065 Eagles Nest 

Auburn, CA 95603-5922 

Emily Chu, M.D. 

278 Durand Way 

Palo Alto, CA 94304-2403 

Christopher Dvorak, M.D. 

100 N. Whisman Rd. 

Apt. 1924 

Mountain View, CA 94043-4926 

: 

Tracey Evans-Ramsey, M.D. 

310 Newbury St. 

Hercules, CA 94547 

Guenter Hofstadier, M.D. 

3742 Gainsborough Dr. 

Concord, CA 94518-1645 

Christine Hung, M.D. 

1295 E. Hillsdale Blvd. 

Foster City, CA 94404 

Lin Jiang, M.D. 

474 Park Place Dr. 

Petahima, CA 94954-6651 

Allison Murphy, M.D. 

38 Lorelei Ln. 

Menlo Park, CA 94025 

Elizabeth Nuti, M.D. 

2 Eustice Ave. 

Oakland, CA 94618-2107 

Christine Stabile, M.D. 

837 Lakeview Way 

Redwood City, CA 94062 

Stephen Swanson, M.D. 

6508 Lucas Ave. 

Oakland, CA 94611-2916 

California 2 

Gary Anderson, M.D. 

3524 Torrance Blvd., #102 

Torrance, CA 90503 

Jennifer Cohen, M.D. 

562 University Dr., Apt. 3 

Menlo Park, CA 94025-5158 

Carlo De Antonio, M.D. 

4106 1/2 Brunswick Ave. 

Los Angeles, CA 90039-1322 

Elizabeth Dyer, M.D. 

: 5321 Camino Bosquecillo 

: San Clemente. CA 92673-7116 

Marc Dyer, M.D. 

5321 Camino Bosquecillo 

San Clemente, CA 92673-7116 

Danelle Fisher, M.D. 

8725 La Tijera Blvd 

Los Angeles, CA 90045 

Weiwen Guo, M.D.,Ph.D. 

19720 Kilfinan St. 

Northridge, CA 91326-4039 

James Henry, M.D. 

725 N. Sweetzer Ave. 

Apt. 101 


Kenneth Huang, M.D. 

1414 Oxford Rd. 

San Madno, CA 91108-2009 

Eric Lau, M.D. 

2127 E. 2nd St., Apt. 1 

Long Beach, CA 90803-5115 

Mary Laxa, M.D. 

1601 Barton Rd., Apt. 3908 

Redlands, CA 92373 

Sean Mc Ghee, M.D. 

862 Moraga Dr. 


Nusrat Qazi, M.D. 

15 Hunter St. 

Irvine, CA 92620 

Nathalie Rubin, M.D. 

4016 Napoli PI. 

Moorp.r., CA 93021 

Michelle Shuffett, M.D. 

809 S. Bundy Dr., Apt. 1 1 0 


AJexander VanSpeybroeck, M.D. 

3712 Evans St., Apt. #6 


Jeannie Visootsak, M.D. 

P.O. Box 360946 


Califomia 3 

Surgery Specialist 

: Mary Hil'nker, M.D., Ph.D. 

: San Diego Medical Ctr. 

: 200 W. Arbor Dr., MC 8401 

San Diego, CA 92103-9000 

Patty Vitale, M.D. 

2939-C Cowley Way 

San Diego, CA 92117-6827 

California 4 

Shakha Gillin, M.D. 

16802 Barclay Ln. 

Huntington Beach, CA 92649 

Alabama 

Lee Ann Beisher, M.D. 

224 Poinciana Dr. 

Birmingham, AL 35209 

Lamenda Blakeney, M.D. 

8160 Seaton PI. 

Montgomery, AL 36116 

Neurological Surgery 

Specialist 

Jeffrey Blount, M.D. 

1600 7th Ave. S. 

Ste. ACC 400 

Birmingham, AL 35233 

Regina Hardin, M.D. 

308 S. 5th St., Apt. F 

Gadsden, AL 35901-4248 

David Lozano, M.D. 

1 1 02 Wild Forest Dr. 

Birmingham, AL 35209-6755 

Rama Mukkamala, M.D. 

4154 Carmichael Rd. 

Montgomery, AL 36117 

Adrene Sellers-Scott, M.D. 

95 Indian Creed Rd. 

Apt. 321 

Huntsville, AL 35806 

Tina Simpson, M.D. 

5065 Melrose Way 

Hoover, AL 35226-5026 

Florida 

Emily Aguilar, M.D. 

846 Lake Howell Rd. 

Maitland, FL 32751 

Noel Alonso, M.D. 

1707 NW 81 st Way 

Plantation, FL 33322 

Marc Arel, M.D. 

3385 Franklin Ave., Apt. B 

Miami, FL 33133-5850 

Stephen Beebe, M.D. 

261 0 NW 38th St. 

Gainesville, FL 32605 

Aileen Gomez-Torres, M.D. 

4185 W. Lake Mary Blvd. 

#1 64 

Lake Mary, FL 32746-2401 

Daniel Green, M.D. 

970 NE 74th St. 

Miami, FL 33138-5236 

David Helft, M.D. 

5200 Windchester Dr. 

Titusville, FL 32780-5933 

Darlene Lee, M.D. 

1500 Bay Rd., #1 164 

Miami Beach, FL 33139 

Jennifer Miller, M.D. 

5316 SW 83 Ter, 

Gainesville, FL 32608 

Angela Mintz, M.D. 

2201 Inverness Dr. 

Pensacola, FL 32503-5028 

Abimbola Odusan a MD 

8189-C Thames B(a 

Boca Raton, FL 33433 

Priscilla Perez, M.D. 

5086 NW 1 1 4th Path 

Miami, FL 33178-3518 

Luis Perez-Burnes, M.D. 

7770 NW 161 st Ter. 

Miami Lakes, FL 33016-6678 

Stacy Pierson, M.D. 

1 1 850 9th St. N, #8208 

St. Petersburg, FL 33716 

Sheila Shah, M.D. 

6055 Forest Green Rd. 

Pensacola, FL 32505-1851 

Karyn Wiest, M.D. 

P.O. Box 372069 

Satellite Beach, FL 

329370000 

Georgia 

Heather Butler, M.D. 

1339 Wingfield St. 

o Aiiemc+n r.A 10GOA-A77A 

Nand Lal Chainani, M.D. 

200 S. Cherry St. 

Ocilla, GA 31774-1414 

William Dolen, M.D. 

1120 15th St. 

Augusta, GA 30912-0004 

Amy Foland, M.D. 

1335 Church St., B3 

Decatur, GA 30030 

Lester Freeman, M.D. 

2815 Landrum Dr. SW 

Atlanta, GA 30311-4301 

Belinda Hodges, M.D. 

1 1 6 S. Houston Rd. 

Wamer Robins, GA 31088-3904 

Eric McBryde, M.D. 

1900 Zebulon Rd. 

Griffin, GA 30224 

Micah Riegner, M.D. 

63 S. Harney St. 

Camilla, GA 31730 

Kimberly Stroud, M.D. 

108 Robin Cir. 

Toccoa, GA 30577 

Michael Young, M.D. 

3538 sington Parc Cir. 

Avon Estates, GA 30002 

Puerto Rico 

Maribel Campos, M.D. 

PMB 243 

B5 Calle Tabonuco, Ste. A9 

Guaynabo, PR 00968-3003 

Jhon Guerra, M.D. 

Dept. of Peds. Hemd 

Onc. Section 

GPO Box 365067 

San Juan, PR 00936-5067 

Ben Hemandez-Velasco, M.D. 

1 00 Gran Biv. Paseos, MSC 

709, Ste. 1 1 2 

San Juan, PR 00926-5955 

DISTRICT I 

Eileen M. Ouellette, M.D., J.D. 

Pediatric Neurology 

North Shore Children's 

Hospital 

57 Highland Ave. 

Salem, MA 01970-2197 

e-mail: eouellette.aap.org 

DISTRICT 11 

Robert M. Corwin, M.D. 

Medical Director MedBest 

251 Salina Meadows Pkwy. 

Suite 100 

Syracuse, NY 13212-4572 

e-mail: rcorwin.aap.org 

DISTRICT III 

Alan E. Kohrt, M.D. 

Medical Director/ 

Children's Health Net 

Children's Hospital of 

Philade ghia 

34th an Civic Center Blvd. 


e-mail: akohrt.aap.org 

DISTRICT IV 

David I Tayloe, Jr, M.D. 

2706 Medical Office Place 

Goldsboro, NC 27534-9460 

e-mail: sewards.aap.org 

DISTRICT V 

Stanford A. Singer, M.D. 

36700 Woodward Ave. 

Suite 300 

Bloomfield Hills, MI 48304-0908 

e-mail: ssinger.aap.org 

DISTRICT VI 

Kathryn Piziali Nichol, M.D. 

1314 Morrison St. 

Madison, WI 53703-3812 

e-mail: knichol.aap.org 

August 2002 wwwaapnewsorg AAP News 97

DISTRICT Vll 

Gary Q. Peck, M.D. 

Office of Public Health 

325 Loyola Avenue - Suite 513 

New Orleans, LA 701 12-1829 

e-mail: gpeck@?aap.org 

,dfa^Pvss2w ~ ~ ~ 

* DISTRICT Vlill 

THIS MONTH'S FEATURED PRODUCT 

0 _. 

Choevbainado on with 

the -mtAamb ae 

: Jon R. Almquist, M.D. 

: Virginia Mason Medical Center 

* Department of Pediatrics 

: 33501 First Way South 

: Federal Way, WA 98003-6208 

. e-mail: jalmquist?aap.org 

N EVV F EL LOVWVS 

DISTRICT IX 

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Extensive Product Selection 

Brand Name Alarms 

Watches for Timed Voiding 

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C-all or email us for a suppil 

of catalogs for lour patients. 

800-2M-9605 

www.bedwefngstore.com 

catakxjs*bedweMnqstr.com 

: Burton F. Willis, M.D. 

: 9900 Talbert 

. Suite 201 

: Fountain Valley, CA 92708-5153 

. e-mail: bwillistaap.org 

* DISTRICT X 

* Charles Linder, M.D. 

: Medical College of Georgia 

. 1120 15th St 

: Rm HF1 117 

: Augusta, GA 30912-0004 

e-mail: clinderEaap.org 

"Mv pediatricilan Frends told me alars are usEless. Now (thanks 

to thle Pott;y Pager) I know they were wrong.) 

0 ~~Eugene Leiken, MD, Israel 

'Our success irate with thie Potty Pager is 75 to 80 percent." 

R idolph Valentilli, MD, pediatric nephrology, Children's Hospital, Detroit 

"Our six-year-old daughter was soaking theX bed nightly. The 

third week on the Pott DPager 'it was like 'po6f? she was dry." 

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SOUTHEAST 

General Pediatricians - The Department of 

Pediatrics at the University of Florida Health 

Science Center-Jacksonville seeks applicants 

for 3 new positions in the General Pediatrics 

Division as a General Pediatrician at the level 

of Clinical Assistant Professor/Clinical 

Associate Professor. These appointments are 

full-time, non-tenure, clinical track appointments. 

Major responsibilities for these position 

will include patient care and teaching with 

opportunities in research possible. Applicants 

should possess a M.D. degree and be Board 

Eligible/Board Certified Pediatricians. Deadline 

for receiving applications is Aug. 15, with an 

anticipated negotiable start date of Sept. 15. 

Salary is negotiable. Forward letter of intent, 

curriculum vitae, and the names and addresses 

of three references to: Mobeen H. Rathore, 

M.D., Professor & Assistant Chairman, Search 

Committee Chairman, Department of 

Pediatrics, University of Florida-Jacksonville, 

653-1 W. Eighth St., Jacksonville, FL 32209. 

Phone: (904) 244-3050. Fax: (904) 244-3028. 

E-mail: mobeen.rathore?jax.ufl.edu. The 

University of Florida is an Affirmative 

Action/Equal Opportunity Employer. 

Kentucky: Pediatrician needed immediately in 

HPSA location. J-1,HlB,Permanent Resident 

or US Citizen all welcome. Computer literacy 

preferred. Send CV to AAP 8, P.O. Box 149, 

Bel Air, MD 21014. 

ANDERSON, S.C. - Well-established private 

practice seeks associate; senior partner retiring. 

BC/BE, energetic; must have excellent training; 

communications skills. Primarily OP practice; 

easy call. Stable office staff. Salary year one; 

partnership track. One hosp; 587- beds, NFP. 

Low managed care. Foothills of northwestern 

South Carolina; on 1 85 and Lake Hartwell; 30 

miles from Greenville (MSA 200,000). Recent 

ALL AMERICA CITY; 2 hrs to Charlotte or 

Atlanta; less to Asheville and mountain areas. 

CLEMSON UNIVERSITY, 16 miles. ...drive to 

Charleston by lunch. Sherry Chastain, Medical 

Staff Development, Anderson Area Medical 

Center; schastaiOanmed.com; (800) 226- 

3103 Does not qualify for Jlwaiver. NO 

RECRUITERS. 

FLORIDA, Palm Beach County. Progressive, 

well-established 7 MD/5 PNP practice looking 

for new MD. Wonderful location with appreciative 

patients. Relaxed pace, excellent working 

cond ition s. E-mail: d pke?pbped iatrics .com 

NORTHWEST 

Beautiful Oregon Coast-The Bay Clinic is seeking 

a BC/BE Pediatrician to replace a physician 

American 

Academy of 

Pediatrics 

who is retiring at the end of 2002. Bay Clinic 

is a 20-physician multi-specialty group with a 

five member Pediatric department that was 

established in 1957. The location is on the 

beautiful Southern Oregon Coast in an area 

with abundant recreational opportunities for 

quality family living. It is predominantly feefor-service 

with in-house laboratory and x-ray 

departments for efficient and convenient service 

to our patients. Emergency call rotation 

for the community includes a total of eight 

Pediatricians. The year's salary is guaranteed, 

with an incentive bonus. All office overheads, 

(azitffiomycin for oFal suspension) 

BRIEF SUMMARY 

INDICATIONS AND USAGE 

ZITHROMAX( (azithromycin) is indicated for the treatment of patients Wvth mild to moderate inwfections (pneumonia: 

see WARNINGS) caLused by susceptible strains of the designated microorganisms in the specific conditions listed 

belowv. As reomne oae.drations of theraDvadwlicableDatientwDoulations varv amongthese tions. please seeDOAEAND ADMINISTAINfrs%ecific dosinagrecommrrendations, 

irnfec- 

Acuie otitis media caused by Haen70philus influenzae, Moraxafla catarrhalis, or Streptococcuspneumoniae. 

(For specific dosage recommerndation, seeDOSAGEAND Community-acquired pneumonia due to Chlamydia ADMINISTRATilON.) 

pneumoniae, Haemophilus infiuenzae, Mycoplasma 

pneumonlae or Streptococcus pneurroniae in patients appropriate for oral therapy. (For specific dosage recommendation, 

see DOSAGE AND ADMINISTRAillON.) 

NOTE.Aikffimmycin should not be used in pediatric padients with pneumonia who are judged to be 

inapprrit fo oraitlw aray because of moderate to severiness or riskfaeorssuch as 

an ofth folmlowing:padsnts with cystie fibrosis, 

dows, patients with known or patientswith nosocomiall acquired infec- 

sus ted bahen kPatents requiringhopta ztin or 

patientswithsini'miet undeyking heai rbesd a opois hi ability to 

Whdisloslts caused by Streptococuspyogenesas an altemative to first-lin thrpy in 

individjuaswocnt use first-line therapy. (For specific dosage recommendation, see DOSG 'AND ADMINIS- 

TRATION.) NOTE: Penicillin b 

the intramuscular route is the usual drugof choice in the treatment of Streptococcusyo 

genes infectio -n -the prophylaxis of rheumatic fever. ZITHROMAX° is often effective in the eradication of tible strainscof Streptococcusp oenesfrom the nasopharynx. Because s7uscep,- 

some strains are resistant to ZITHROMAX°, 

susceptibility tests should be pDegrimed wvhen patients are treated with ZITHROMAX°. Data establishing 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 causative 

organism and its susceptibility toazithromycin. Therapy with ZITHROMAX° may be initiated before results of these 

tests are known; oncethe results become available, antimicrobial therapy should be adjusted accordingly. 

ZITHROMAX° is contraindicated in patientsWvth 

CONTRAINDICATIONS 

knovvn hypersensitivity to azithromycin, erythromycin or any 

macrolide antibiotic. 

WARNINGS 

Sefious Johnon Sndroe allergic reactions, an toxcincluding angioedema, anaphylaxis, and dermatoloqic reactions including Stevens 

Altoug rae, atlites epdermal necrolysis have been reorted rarely In patients on aveben azithromycin therapy. 

matc teatentof he reported. (See CONTRAINDICATIONS. Despite initially successTul sympto- 

recrre son fierfte llegicsymptoms, when symptomatic therapy was discontinued, the allergic symptoms 

insome patienX without furtheruizfiromycin exposure. These patients required 

prolonged periods of observation and symptomatic treatment The relationship of these episodes to the long tissue 

half-life of azithromycin and subsequent prolonged exposure to anti en is unknown at present. 

If an allergic reaction occurs, the drug shouldbe discontinuedan appropriatetherpy should be instituted. 

Physicians should be aware that reappearance of the allergic symptoms may occur when symptomatic therapy is 

discontinued. 

In X wtretetof pneu_ia, admy ncin has only been shown to besafeand effectivein tea_etof muni_y-acquire thes 

luo dueto Ckhh ydisp_iuz _e pHmmo 

Aznhromycin should notbe used mpainswt neumonia who areludged to be'inn ropriate for 

beas oebt eeeileso ikhtr uh"ayo h Nwitc fbeosis paf wilhat tosevealyacurednsso riskfectionsuc patins with kown ng: 

orsspce 

patients 

bateema --nts -quiring ho pitlializaon,elderly ordblttd patients, or cantunelm patients with 

UNltpIFem signifi- 

ta may compromise their abiliyt respond to immundiinyo theirillness (including 

hinction al asplenia). 

PseudomebranouscolSts has use reoredw theryally antibacterial agents and seveityfro mid t lif theatnin n V nay range in 

itisimp rWnt consider thisdslagnosis in peant s 

who~~ ftwt~~~~S ineasbeunt Treamen wih anibateral aent the adminsrto ofantbactedal agents. 

alersthe normal flora of the colon and may permit overgrowth ofclostridia. 

Studies indicate that a toxinprdcdb Clostridium difficile is a primary cause of "antibiotic-associated colitis." 

After the diagnosis of pseuoebao s colitis has been established,therapeutic measures should be initiated. 

Mild cases of pseuaomembranous colitis usually respond to discontinuation of the drug alone. 

In moderate to severe cases, consideration should be given to management with fluids andelectrolytes, protein supplementation, 

and treatmentwith an antibacterial drug clirnicallyefective against 

PRECAUIIONS 

Clostnidium d0fcilecolitis. 

General: Because azithromycin isprincipally eliminated via the liver, caution should be exercised when 

is administered 

azithromycin 

to patientsvith imTaired hepatic function. 

There are no data regarding azithrom cn usagein patientswith renal impairment; thus, caution should be exercised 

when prescribing Thefollowing adverse azzithromycin events havein=tespatients. been reportedwith macrolide products: ventricular ventricular tachycardia and torsades depointes, in individualswith proloniged arrhthfmias,irncluding 

OTintervals. There has been a spontaneous report trom the post-mnarketingexprinc o a patientwith previous history of 

arrytmias who experienced torsadesdepointesand subsequent moada infarctionfollowing a course azithromycin theraDy 

ot 

Information Pateins: for Zithromax*oral suspension can be takenwith or 

Patents svithoutfood. 

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

simultaneously. 

azithromycin 

The patient should be directed to discontinueazithromycin immediately and contact a physician if any signs of an 

allergic _reaction e occur. 

Inlia nsAluminurm - and magnesiwlHuw"antacids reducefthpeak serum anmatin(rate) but the 

nut 

wCfexeit) of abs b 

Administration azithrmrTi of cimetidline (806 bmwgtwo hours pfiorto azithromycin had no effect on Azitromyinid nt afectthe azithromycin 

plasmnaconcentrations or phamnaCOKinetics absorptior. 

of theophy gle itraveous dse.Theffe o linieadministered as a sin- 

t azithromycirn on the plasma concentrations or adminsterdinmultple oses pharmacokinetics of theophylline 

resulting in therapeutic steady-state concentrations of theophy line is not known. 

Howevr, cnwrrnt ue ofmacr lides and theopnylline has been associatedwith increases in the serum concentrations 

of theophylline. Therefore, until further data are available, prudenit medical practce dictates careful monitoring 

of plasma theophyllirieconcentrations in patients receiving azithromycin and 

Azithromycin theophylline concomitantly. 

did not affect the prothrombinbmre response to a single dose of warfarin. However, prudent medical 

pracbce dictates careful monitoring of prothrombin Time in all patients treatedwithazithromycinl and concomitanty. warfarin 

Concurrent use of macrolides and warfarin in clinical practice has been associated with increased 

anticoagulant effects. 

Thefolloving druginteractions have not been reported in clinicaltrials withaithromycin; however, no specific 

drug interacbon studies have been prformed to evaluate potential 

been observed drug-druginteracbon. Noretdieess, they 

witmacroliide=rdcs 

nave 

U nbl further data are developed regardingdnuginteractions when 

aztrmcna nthsdugar used concomitantly, careful monitoring of patients is advised: 

Ergotmine r diydroegota ine-acute ergot toxicity characterized by severe peripheral vasospasm and dyses- 

Triazolam-decrease the clearance of triazolam and thus may increase the pharmacologic effect of triazolam. 

Drugsmetabolized by the cytochrome P450 system eevations of serum 

hambarbital,arnd phe oD carbnarrapine, terfeadime,cydospodrine 

n laoaorTs itera socnrto 

c donxThere are no 

reported laboratory test interactions. 

Cu ci Mutbgenesis,Impainne t of FerWitybLong-termstudies in animals have not been performed 

to evaluatecarcnogenic potential.Azithromycin has shown no mutagenic potential in standard laboratory tests: 

mouse lymphornassay, numan lymphocyte clastog,enic assay, ana mousemmnmarrow clastogenic assay.No evidence 

Ofimpaired fertilityuetoazithromy in was w Prw eratoenicEffecs. Prgnany CatgoryB: ound. Reproducton studies have been perwrm Ted in rats and 

mice atdoe up to moderately matemally toxic d on a mg/mlbasis, are estimated to be 4 and 2 times, respectively, the human daily dose of 500 mg. In the animal 

studies, no evidence of harm to the fetus due to azithromycin was found. There are, however, no adequate and wellcontrolled 

studies in pregnant women. Because animal reproduction studies are not always predictive of human 

response, azithromycin should be used during pregnancy onlyif clearly needed. 

NursingMdomes It is not knovvn whether azitnromycin is excreted In human milk. Because many drugs are 

excreted in human milk, caution should be exercised wnen azithromycin is administered to a nursing woman. 

PediiiricUe:(e I NDCAillONSAND USAGE AND DOSAGE AND 

Acute Otitis Media (total dosage 

ADMINISTRATION.) 

regimen: 30m/g, see DOSAGE AND ADMINISTRATilON): Safety and 

effectiveness in the treatment of children with otitis media under 6 months of agqe have not been established. 

CommunityAcquired Pneumonia (dosage regimen: 10 mg/kg on Day 1 followved by 5 mg/kg on Days 2-51: 

Safety and effectiveness in the treatmeont of children with community-acquired pneumonia under 6 months of 

age have not been established. Safety and effectiveness for pneumonia due to Chlamydia pneumoniae and 

Mycoplasmapneumoniaewere documented in pediatric clinical trials. Safety and effectiveness for 

due 

pneumonia 

to Haemophilus influenzae and Streptococcus pneumonliaewere not documented bacteriologically in the 

pediatric clinical trial due to difficuIt in obtaining specimens. Use of azithromycin for these two microorganisms 

IS supported, however, by evidencefrom adequate and 

welk-ontrolled studies in adults. 

PhayngtisTonilltis(doageregmen'12 mg/kg on Days 1-5): Safety and effectiveness in the treatment of childrenwithphayngiis/tnsilitiuneir2 

years oTage have not been established. 

Sudies~ Geriic se:hamacoknetc mvZXueirpeated ~ ~~~o courAs of dop have 

paameers 

notbeen conducted. 

n oder oluteers M6-5 years old) wmere similar to those in 

volunteers 

younger 

(18-40 years old)foth5-athrpuireie.Dsgadsmntosnt appear to be 

for older 

necessary 

patients with normlrnladhptcfnto eevn ramn mt hsdsg regimen. 

In clinical trials, most of the reported side effects were mild to moderate in severity and were reversible upon discontinuation 

of the drug. Potentially serious side effects of angioedema and cholestatic jaundice were 

rarely reported 

Approximately O.7% of the patients (adults and children) from the 5-day multiple-dose clinical trialsdiscontinued 

YIHROMAXII(azithromycin)therapy because of treatment-related side effects.In clinical trials in children 

30 

given 

mg/kg, eite aasiaedsoroe3 a,dscninuation from thetrials due to treatment-related side effects 

was approximtl 1.(eDOAEN MIISTRATION.) Most of the side effects leading to discontinuation 

were reltdtthgatonetalrc, e.g., nausea, vomiting, diarrhea, or abdominal pain. 

Clinical: 

Children: Single andMultiple-dose regimens,The types of side effects in children wmere comparable to those seen 

in adults, with different incidence rates for the dosage regimens recomnmended in children. 

Acute Otitis Media: Forthe recommended total dosage regimen of 30 mg/kg, the most frequent side effects(21 attributed %) 

to treatment were diarrhea, abdominal pain, vomiting, nausea and rash. (See DOSAGEAND ADMINIS 

TRATIlON.)The incidence, based on dosingroimen, is described in the table below: 

Dosage Diarrhea, % Abdominal Vomiting,% Nausea, % Rash, % 

Regimen , bin, % 

1-day 43% -X% 49% 1.0% 1.0% 

3-day 2.6% MtO 2.3% 0A% 0.6% 

5-day 1.8% 1l2% tl1% 0.5% 0.4% 

Community-Acquired Pneumonia: Fortherecommended dosage regimen of 10 mg/kg on Day 1 followved bv5 mg/kg 

on Days 2-5, the most frequent side effectsattributed to 

painvomiinogan treatmnent were 

nauea (.9% 

diarrhea71oose stools (5.8%), abdominal 

Piarngits/tnsiliti: each),and rash (11.6%). 

hrtherecomrHnanded dosageregimen of 12 ma/go Days 1-5, the most frequent 

rshdONfctattibtdhoteadacent.V were diarrhea (5.4%), vomiting (5.6%-e), abdominal pain (3.4%), nausea (2%), 

With any of the treatment regimens, no other treatment-related side effects occurred in children treated with 

ZITHROM with "I a frequency greater than 1%. Side effects that occurred with a frequency of 1% or less included 

the following: 

Cardiovascular:Chest 

Gasumntestinal: 

pain. 

Dyspepsia, constipation, anorexia, enteritis, flatulence, gastritis, jaundice, loose stools and oral 

moniliasis. He 

N 

ican Lnn hatic: Anemia andleukopei 

tenrou sm Heaaache (otitis media dosage) rhyperkinesia, dizziness, agitation, nervousness and insomnia. 

GnrlFee,face ederma, fatigue, fungal infection, malaise and pain. 

Aeic: Rash and 

Repaoy allergic 

Couq reactiorL 

increased, pharyngitis, pleural effusion and rhinitis. 

Skinand Appendages: Eczema, fungal dermatitis, prufitus, swveating, urticaria and vesiculobullous rash. 

Special Senses: Conjunctivitis. 

Post-MafkeingExperiene: Adverse events reported withazithromycin during the post-marketing period in 

adult and/or pedi'atric patients for which a causal relationship may not be establis-hed include: 

Alri:Arthralgia, Cadosclr 

edema, urticaria and angioedema. 

Arrhythmias including ventricular tachycardia and 

Gastrontestinal: hypotension. 

Anorexia, constipation,dyspepsia, flatulence, vomiting/diarrhea rarely resulting in dehydration, 

pseudomembranous colitis, pancreatitis, ora candidiasis and rare reports of tongue discoloration. 

General: Asthenia, paresthesia, fatigue, malaise and anaphylaxis (rarely fatal). 

Genitourinary-Interstitial nephritis and acute 

Hematopoitic: 

renal failure and 

Thrmbocytop vaginitis. 

nia. 

Live/Bifarybnoral lver uncton including hepatitis and cholestatic jaundice, as necrsisandhepticfaiure well as rare 

so 

cases of hepatic 

Nervos 

eo which have resulted in 

Sysem: 

death. 

sy Cnvulsons,dizziness/vertigo, headache, somnolence, hyperactivity, nervousness, agitation and 

coDe 

SnAp Psciti:Aggressive reaction and anxiety. 

drmn ndagesPruritus, rarely serious skin reactions including erythema multiforme, Stevens-Johnson syn- 

oxic epidermal necrolysis. 

Special Senses:Hearing disturbances including hearing loss, deafness and/or tinnitus and rare reportsof taste 

perversion. 

Labatr Abnormnaliti 

One,Threeand FrveDay 

Laboratory data collected from Regimens comparative clinical trials employing two 3-day regimens (30 mg/kg or 60 mg/kg in 

divided doses over 3 days), or two 5-day regimens (30 mg/kg or 60 mg/kg in divided doses over baays) were similar 

for regimens of azithromycin and all comparators combined,vvith most clinically significant laboratory abnormalities 

occurring at incidences of 1-5%. Laboratory data for patients receiving 30mgk as a single dose were 

collected in one single center trial. In that tfial, an absolute neutrophil count betwveen%501500 cefls/mm' wias 

observed in 10/64 patients receiving 30 mg/kg as a single dose, 9/62 patients receivn 30 m/Au qiven over 3 

davs, and 8/63 comparator patients. No patient had an absolute neutrophil count

:g-V2, C;fr.t C;' 

wj y 4,,,! :'i + ... 

i t . z r,, :,0+uS'b (: 

i00X ff F.. 

} 

S 

,.= 

t030 _ 

.00 - 

n 

t. 

.E 

.0 

i;QH',,

N EVV F EL LO WVS - AAP News

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