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XNM · 2006-04-07 · MedicalCenter D., Ph.D. 6345HampshireDr. 5320HylandGreensDr. Box 66548 Brian Linde, Riyadh 11586 CMSC7-119600N. ... The~~~~~ June19 23,2000 JR Geore S DielyBuidin

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Page 1: XNM · 2006-04-07 · MedicalCenter D., Ph.D. 6345HampshireDr. 5320HylandGreensDr. Box 66548 Brian Linde, Riyadh 11586 CMSC7-119600N. ... The~~~~~ June19 23,2000 JR Geore S DielyBuidin

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Page 2: XNM · 2006-04-07 · MedicalCenter D., Ph.D. 6345HampshireDr. 5320HylandGreensDr. Box 66548 Brian Linde, Riyadh 11586 CMSC7-119600N. ... The~~~~~ June19 23,2000 JR Geore S DielyBuidin

r-4110i I vLODear Academy Fellow: In submifting these names of board-certified pediatricians to you, it is

In order to fulfill the admission requirements of AAP Bylaws, you are requested to: and pediatric credentials are not in question. Comments are requestedCarefully review the following list of new applicants for Academy membership; and relay your and/or ethical situations of which you might have personal knowledge.reactions directly to District Chairperson, whose name and address is at the end of this list. Send any comments on the following list of new applicants to your Dishid

Maryland Virginia Minnesota Diane Halberg, M.D.

Deena Khayamy, M.D. flow Russell Delaney, M.D. Jennifer Rubin, M.D. Berkeley, CA 94707Specialized Medical Center D., Ph.D. 6345 Hampshire Dr. 5320 Hyland Greens Dr.RO. Box 66548

Brian Linde, M.D.Riyadh 1 1 586 CMSC 7-119 600 N. Wolfe Roanoke, VA 24018 Bloomington, MN 553471825 Channing Way EileenBaltimore, MD 21287 0Saudi Arabia

Emergency Medicine Specialty : Mafthew S. Segedy, M.D. Berkeley, CA 94703Robin Madden, M.D., Ph.D. Fellow : 250 N Central Ave., Ste. 101 North10313 Georgia Ave., Ste. 303 : William Hauda, M.D. : Wayzata, MN 55391 Asha Ramchandran, M.D 57 HilSilver Spring, MD 20902 : 8359 Alvord St. 40902 Ingersoll Ter., Apt. 206 Salem

McLean, VA 22102 Missouri Fremont, CA 94538 e-mailConnecticut 0 New JerseyWilliam Biles, M.D. : Kathleen Kelly, M.D. Janet Mueller, M.D. Jay Ratilal, M.D. DIS7

100 Route 37 Nermine Doss, M.D. : 5860 Post Corners TH., Apt. C 907 N Rock Hill Rd. 21 Gamay Ct., Bldg.New Fairfield, CT 06812 105 Evergreen St. #2 : Centreville, VA 20120 Saint Louis, MO 63119 Red Bluff, CA 96080

Bayonne, NJ 07002 Medi(

: David Siegel, M.D. Wisconsin Califomia 2 PresidJessie Brutus-Dadus, M.D. Sophia Gigos-Costeas, M.D. : 9803 Glynshire Way Madi!2 Sierra Way1033 Route 46 East Potomac, MD 20854 Elizabeth Hilbelink, M.D. Pamela Atienza, M.D. SyraciClifton, NJ 07013 1 1 01 Ridge Rd. 974 Norella St. e-maiDanbury, CT 06810 Joshua Wolpert, M.D. Marshfield, WI 54449 Chula Vista, CA 9191 0Youssef Hannallah, M.D. 15 Cleveland Ave., Suite 14 0 DISI333 Cedar St. LCI302/208064 211 Darwin Ave. Martinsville, VA 24112 Thomas Mcintee, M.D. : Elba Mehta, M.D.New Haven, CT 0651 0 Rutherford, NJ 07070 5403 Duncan Dr. : 24161 E Benfield Pi. Susan

Stevens Point, WI 54481 : Diamond Bar, CA 91765 605Carol Weitzman, M.D. 0

16 Spector Rd. Howard Kornfeld, M.D.Woodbddge, CT 06525 10 Overlook Rd., Apt. 5D g,-,4L"WII California 3 e-mai

Summit, NJ 07901 Indiana 111MAN40ki0

Daysi Alas, M.D. DISIRichard Lin, M.D. Andrew Donovan, M.D. Oklahoma 10127 Circle R. Dr.

MassachuseftsLars Kula, M.D. 412 Morning Dove Cir. 1425 State St., Suite 100 Valley Center, CA 92082138 Protspect St. 2800Sewell, NJ 08080 New Albany, IN 47150 Jana Armstrong, M.D.Acton, 720

817 NW 38th Street Azardokht Hamedaninia, M.D. Suite

Pennsylvania Linda Froberg, M.D. Oklahoma City, OK 73118 4409 Via Precipicio RaleiiSharyn Niederman, M.D. 219 Lincoln St. San Diego, CA 92122 o e-mai

292 North Rd. Alexis Lieberman, M.D. W Lafayefte, IN 47906 TexasBedford, 01 730 7042 Greene St. Surgery Specialty Fellow

Philadelphia, PA 19119 Michigan Surgery Specialty Fellow Barry Lo Sasso, M.D.New Hampshire

Dai Chung, M.D. 3231 Wadng Ct., Ste. P Stanfi

Geraldine Rubin, M.D. Neal Thomas, M.D. Abdalla Abdalia-Aii, M.D. : 301 University Blvd., Rm. 3.220 E Oceanside, CA 92056

RR2 Box 157 9460 Saratoga Dr. 863 Beechlawn Ct. : Galveston, TX 77555Pittsburgh, PA 15237 East Lansing, Ml 48823 California 4 BloonWalpole, NH 03608

00 Anesthesiology Specialty Fel/ow : e-ma

Rekha Kostecke, M.D. Jesse Dadson, M.D. Steven Abelowitz, M.D.37474 Fountain Park Cir., 1 310 Crystal Lake Cir East 22 Amador Street DISIUniformed Services - East

Biswas, M.D. Apt. 478 Peariand, TX 77584 Newport Coast, CA 926571 1 1 5 Fariway Dr. Kentucky Westland, MI 48185 0Chesapeake, VA 23320 Abelardo Doria, M.D. Su e (Specialty Fellow

Giuseppina Naughton, D.O. : 403 S 7th St. G2 12 0 Dean

Bridget France, M.D. ral GoHin, M.D. 1313Vermont

4 Greene St. : 6240 Oak Ridge Dr. : Cardzo Spdngs, TX 78834 52 Summit Ave.Surgery Specialty Fellow Fort Thomas, KY 41075 : Washington Twp, MI 48094 0

Kennith Sartorelli, M.D.0 : Durdana Malik, M.D.

Beverly Gaines, M.D. : Ohio: 1200 Quaker Ridge Dr. DISI

4th FL Fletcher House 9014 Linn Station Rd. : Austin, TX 78746Louisville, KY 40222 Carlton Bates, M.D. 0 L. Lei

Lynbrook Drive : Alabama offic,North Carolina Dallas, TX 75238 0 Baylc: James Sedlis, M.D. OneAmy Fowler, M.D. Lawrence Handwork, M.D. Alaska 2850 Fairway Dr., #213B Hous

New York 2 16 Pulley Place 5121 Echoglenn NW Birmingham, AL 35213 e-ma

Durham, NC 27707 North Canton, OH 44720 Mishelle Nace, M.D.1001 Noble St. Florida DIS7

257 Water St., Apt. 2A Marie Vickers, M.D. Kathleen L.T_.in&-Arar, M.D. 0 Fairbanks, AK 99701Kl-.., V-1, A ^C' t A I I A IL:L- 1_ A A:11 n -1 A-7C IA 4- :L_ el..:L- A -

Page 3: XNM · 2006-04-07 · MedicalCenter D., Ph.D. 6345HampshireDr. 5320HylandGreensDr. Box 66548 Brian Linde, Riyadh 11586 CMSC7-119600N. ... The~~~~~ June19 23,2000 JR Geore S DielyBuidin

l bm< g ^"t*fll Sp~~~~Srin timlein aris

I~~ ACMEMeetingin PracticalPediatric Topics 11I SunriseCnilren slOsptaIand a PracticeManagement Seminar 113rd nnuaI

> < ge ll l Ped i~~eatri'c Acute Care m osu

a<6Pt*< S ~~COISERiW Aprtfi28, 29, 2000I Rt+@jeRgSSnrf 11 1 Pa<ZH0t61/, ~~~La4,Veq, Neva

I~~~~~~~~~~~~~~~~~~~~~'o CCivtlo 111adm| 1| 1 | 11 1 *~~~~~~~~~Kaavwaka4s'04eav

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|~~~~~~~~~~~~~~~~~EMe|et_ M_ *_ f A r

| 8 11 1 Ewxrw>~~~~~~~~~~~EL*Pe&a&oL"A l

PlaX,pre1-mpcslJFCCS cthwos&OAprAJ6fhJune 15-17, 2000 * The Cloister * Sea Island, Georgia27tk| ~~~~FrankP.Bowyer,MD,Program Chair 1 7h

| ~~~~~Sponsoredby |||foearCdiwe+a*& X*mrv)t- wGeorgia Chapter/American Academy of Pediatrics

| For information contact Meg Evans * (404) 881-5067 * Fax (404) 249-9503 * [email protected] || F0w mA)r&C*L*mcZ *wrc<mt S aw CChades#okaLat

l ~~~~orvisit our Web site at www.gaaap.org ll | (702)731 -8 741.

( 44Aftertenyears ofagonizing, diapers,and two ineffective drugs, our son I MTfinally has the confidence for a sleep- I r ACS9 fover,thanks tothe PottyPager. *

Daniel E.Turnbull 1 _ 1 )

Page 4: XNM · 2006-04-07 · MedicalCenter D., Ph.D. 6345HampshireDr. 5320HylandGreensDr. Box 66548 Brian Linde, Riyadh 11586 CMSC7-119600N. ... The~~~~~ June19 23,2000 JR Geore S DielyBuidin

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY|__(fomrerly knowvn as the Agency for Health Care Policy and Research)l

U.S. Deparunent ofHealth and Human ServicesNOTESThe Agency for Healthcare Research and Quality (AHRQ) announces the inunediate availability of doctoral level positions in the Center | GENERAL PEDIATRICIAN-astHelhr,afor Primary Care Research (CPCR). The AHRQ sponsors and conducts research that enhances the quality, appropriateness, access, and growing central New York Stat elhcaesseeffectiveness of health care services. The Center for Primary Care Research serves as the major Federal source of funding for primary | and major teaching affiliate of oubaUnvriycare research and accomplishes its mission through research that seeks to improve access to, and the effectiveness, quality, and cost of is seeking a general pediatrician oji h iemmprimary health care services. Other areas of study for CPCR include access to care, vulnerable populations, patient provider ber Division of Pediatrics. The ucsfl addtconununication, health-related behavioral change, medical infonmatics, and geriatrics. | will be involved in the continudgotofabs

clinical and teaching practice. Ptet oefoThe duties and responsibilities will include conducting intramural research, as well as stimulating and managing extramural research in | 10 county rural area of upstate NwYr.Cniaethe organization, practice, and outcomes ofprimary care. Individuals must possess extensive experience and training in research methods | must be BC/BE, with interest, nciia eciga(e.g., epidemiology, health services research, or statistics) as well as a background designing and planning studies, performning analyses | well as general outpatient andiptetreitisand interpreting results, manipulating large secondary databases, and presenting findings through oral presentations and published Ti sauiuiutoo

manuscripts. Additionally, experience in the study of the structure, perforTnance and policy concerns of the health care system, especially ofThsISaultiquspeitalty ogrombiin thpavataerelated to primary care is highly deial.helhcne with rrae.l,Researchers should also have an advanced degree (e.g., Ph.D, Sc.D, D.N.S.) with commensurate training and experience. Temporary and | offers outstanding recreationa aiiis udopermanent positions may be available. The Agency for Healthcare Research and Quality is located in Rockville, Maryland (a suburb Of activities in a beautiful regionoflksadhl,hn

Washingto4D.C.). I ~~~~~~~~~~~~~~~~~~~~~~~~~schools,and a safe, small-tcw niomn.WWashington, D.C.).~~~~~~~~~~~~~~~~~~~~~~~~offera competitive salary with netvs admlPlease visit our web site at wwvv.&hg.&Qv to view specific employment opportunities. Full text vacancy announcements specify practice, excellent benefits, an dctonltaequalification requirements for individual positions, desirable qualifications that must be addressed individually thirough a personal allowance. Please send CV tc:Jh rsr ietrnarrative, as well as other administrative requirements. Questions about these openings may be directed to Dr. Helen Burstin, Director, Medical Staff Affairs, Bassett HelhaeIOeAwlCenter for Primary Care Research by phone at 301-594-4028 or via e-mail hbursfln0.arq.W".cv. Road, Cooperstown, NY 13326 hne 67)57

6982; fax: (607) 547-3844; emal: onfaeXbAHRQ IS AN EQUAL OPPORTUNITY EMPLOYER sett.org. Currently there are roJ1opruiis

Management of Complex Humanitarian Emergencies .' toal_e,-seFocus on Chlde an Fa^m..i's

June 19 23, 2000 JR

The~~~~~ Geore S DielyBuidinCase WesternlReserve UIJversigty r

Supported by: I ir,:AseCenter for International Health, Case Western Reserve University T n<X:

American Academy of Pediatrics - --xP.O.BInternational Pediatrics Association Ith tlh o g

This program is intended for pediatric'ians, primary health providers, NGO relief professionals and mental health | PRIVATE PRACTICEOP RTN Y |professionals interested in training for the care of children and families during complex humanitarian emergencies. _

After attending this program, participants will be able to: Identify the most important problems and priorities in |complex humanitarian emergencies; Identify organizations most frequently involved in providing help in complexhumanitarian emergencies and define their roles and strengths; Identify the groups most vulnerable in complex |humanitarian emergencies; Define common psychosocial issues of children and the means to address them; and _

emlysklsiA cnlc rsltinreotain and c-ross cultural coAmmumniction.n-

Page 5: XNM · 2006-04-07 · MedicalCenter D., Ph.D. 6345HampshireDr. 5320HylandGreensDr. Box 66548 Brian Linde, Riyadh 11586 CMSC7-119600N. ... The~~~~~ June19 23,2000 JR Geore S DielyBuidin

C=c._ 919 09 l::DD Get Your CME Credits and Practice Tips at Four Different Pediatric CME CourA at

Disney World and Hilton HeadMID-ATLANTIC Eighteenth Annual Lloyd Noland Continuing Medical Education Seminars at res(

NEONATOLOGIST Peninsula Regional Check It Out On Our CME Website:Medical Center is a.progressive 300-bed www.floydnolandleme-orgacute care and regionai referral center,located in Salisbury, Md., just 30 minutes Download all you need including seminar and hotel reg'lstration form.;.from the windswept beaches of Ocean City, 1 7 Years of Accred'ited Continuous National Continuing Medical EducalMd. Our area is famous for sun, sand andseafood. Residents of the Eastern Shore Sponsored byenjoy a relaxed fami lifestyle nestled withinan affordable cost o iving area. The Eastern Lloyd Noland FoundationShore offers a variety of outdoor recreation, Telephone: 205-783-5276along with convenience to the culture, edu-cational and recreational attractions of theBaltimore/Washington metropolitan areas.Currently, we are seeking a neonatologist towork full time in our progressive Level 11Neonatal Unit. Our Neonatal Unit is respon-sible for 2,000+ deliveries eac year. Thesuccessful candidate shoul be BoardCertified in Pediatrics and BoardCertified/Board Eli&ible in Neonatal/Perinatal References: 1. Greenberg RN. Overview of patient compliance with medication dosing: a literature review. Clin Ther. mouse lymphoma assay, human lymphocyte clastogenic assay, and mouse bone marrow

Medicine. Peninsula Regional offers acom- 1984;6-.592-599. L Red Book' Update, Montvale, NJ: Medical Economics Co Inc: July 1998-.22,24,26,27,71. No evidence of impaired fertility due to azithromycin was found.Pregnancy: Teratogenic Effects. Pregnancy Category B: Reproduction studies have been

etitive salary and a comprehensive flexible ZITHROMAXO at doses up to moderately matemally toxic dose levels (i.e., 200 mg/kg/day). These dosei

(azithromycin for oral suspension) are estimated to be 4 and 2 times, respectively, the human daily dose of 500 mg. In the i

Cefits packap We offer on-site child care, BRIEF SUMMARY of harm to the fetus due to azithromycin was found. There are, however, no adequate an

pregnant women. Because animal reproduction studies are not always predictive of humfitness center, tree on-site parking and choice INDICATIONS AND USAGE should be used during pregnancy only if clearly needed.of health plans. Interview an(i relocation ZITHROMAXI (azithromycin) is indicated for the treatment of patients with mild to moderate infections (pneumonia: Nursing Mothers: It is not known whether azithromycin is excreted in human milk. Beca

see WARNINGS) caused by susceptible strains of the designated microorganisms in the specific conditions listed in human milk, caution should be exercised when azithromycin is administered to a nursiassistance will be provided. Interested can- below. As recommended dosages. durations of therapy, and applicable patient populations va[y among these Pediatric Use: (INDICATIONS AND USAGE)

infections, please see DOSAGE AND ADMINISTRATION for sgecific dosing recommenclations, Acute Otitis Media (dosage regimen: 10 mg/kg on Day followed by 5 mg/kg on Day!didates should submit resume in confidence Acute otitis media caused by Haemophilus influenzae, Moraxella catarrhalis, or Streptococcus pneumoni.ae. effectiveness in the treatment of children with otitis media under 6 months of age haveto: Allison Derickson, Peninsula Regional (For specific dosage recommendation, see DOSAGE AND ADMINISTRATION.) Community-Acquired Pneumonia (dosage regimen: 10 mg/kg on Day followed by 5 r

Community-acquired pneumonia due to Chlamydia pneumoniae, Haemophilus influenzae, Mycoplasma and effectiveness in the treatment of children with community-acquired pneumonia undEMedical Center, 100 E Carroll St., Salisbury, pneumoniae, or Streptococcus pneumoniae in patients appropriate for oral therapy. (For specific dosage been established. Safety and effectiveness fo. pneumonia due to Chlamydia pneumoniae ar

recommendation, see DOSAGE AND ADMINISTRATION.) were documented in pediatric clinical trials. Safety and effectiveness for pneumonia dueMD 21801, toll free . (800) 543-7780 ext. NOTE: Azkhromycin should not be used in pediatric patients with pneumonia who are judged to be and Streptococcus pneumoniae were not documented bacteriologically in the pediatric c

7459, fax (410) 543-7156; e-mail: alli- inappropriate for oral therapy because of moderate to severe illness or risk factors such as in obtaining specimens. Use of azithromycin for these two microorganisms is supported,any of the following: patients with cystic fibrosis, patients with nosocomially acquired adequate and well-controlled studies in adults.

son.derickson.peninsula.org. No J-1oppor- infections, patients with known or suspected bacteremia, patients requiring hospitalization, Flharyngitis/Tonsillitis (dosage regimen: 12 mg/kg on Days 1-5): Safety and effectivenior patients with significant underlying health problems that may compromise their ability to children with pharyngitis/tonsillitis under 2 years of age have not been established.

tunities. EOE. respond to their illness (including immunodeficiency or functional aspienia). Studies evaluating the use of repeated courses of therapy have not been com

PharyngitisAonsillitis caused by Streptococcus pyogenes as an alternative to first-line therapy in individuals Geriatric Use: Pharmacokinetic parameters in older volunteers (65-85 years old) were s

who cannot use first-line therapy. (For specific dosage recommendations, see DOSAGE AND ADMINISTRATION.) volunteers (18-40 years old) for the 5-day therapeutic regimen. Dosage adjustment doesSOUTHWEST NOTE: Penicillin by the intramuscular route is the usual drug of choice in the treatment of Streptococcus for older patients with normal renal and hepatic function receiving treatment with this d

pyogenes infection and the prophylaxis of rheumatic fever. ZITHROMAXI is often effective in the eradication of ADVERSE REACTIONSsusceptible strains of Streptococcus pyogenes from the nasopharynx. Because some strains are resistant to In clinical trials, most of the reported side effects were mild to moderate in severity and

RNs ZITHROMAXI, susceptibility tests should be performed when patients are treated with ZITHROMAX'. Data discontinuation of the drug. Approximately 0.7% of the patients (adults and children) froestablishing efficacy of azithromycin in subsequent prevention of rheumatic fever are not available. trials discontinued ZITHROMAXI (azithromycin) therapy because of treatment-related si

"Move to Colorado" Appropriate culture and susceptibilo tests should be performed before treatment to determine the causative effects leading to discontinuation were related to the gastrointestinal tract, e.g., nauseaorganism and its susceptibility to azithromycin. Therapy with ZITHROMAXI may be initiated before results of these abdominal pain. Potentially serious side effects of angioedema and cholestatic jaundice$10,000 incentive package tests are known; once the results become available, antimicrobial therapy should be adjusted accordingly. Clinical: Adults: Multiple-dose regimen- Overall, the most common side effects in adul

CONTRAINDICATIONS multiple-dose regimen of ZITHROMAX' w'ere related to the gastrointestinal system withCall now, (800) 228-4039 ZITHROMAXI is contraindicated in patients with known hypersensitivity to azithromycin, erythromycin, or any nausea (3%), and abdominal pain (3%) being the most frequently reported.macrolide antibiotic. No other side effects occurred in patients on the multiple-dose regimen of ZITHROMi

WARNINGS than 1 %. Side effects that occurred with a frequency of 1% or less included the followitCALIFORNIA Neonatologists (BC/BE) Serious allergic reactions, including angioedema, anaphylaxis, and dermatologic reactions including Stevens Cardiovascular: Palpitations, chest pain.positions available throu hout the Los Johnson Syndrome and toxic epidermal necrolysis have been reported rarely in patients on azithromycin therapy. Gastrointestinal: Dyspepsia, flatulence, vomiting, melena, and cholestatic jaundice.9 Although rare, fatalities have been reported. (See CONTRAINDICATIONS.) Despite initially successful Genitourinary: Monilia, vaginitis, and nephritis.Angeles area with large physicianowned pri- symptomatic treatment of the allergic symptoms, when symptomatic therapy was discontinued, the allergic Nervous System: Dizziness, headache, vertigo, and somnolence.

symptoms recurred soon thereafter in some patients without further azithromycin exposure. These patients General: Fatigue.vate/academic multi hospital-based private required prolonged periods of observation and symptomatic treatment. The relationship of these episodes to the Allergic: Rash, photosensitivity, and angioedema.long tissue half-life of azithromycin and subsequent prolonged exposure to antigen is unknown at present. Single 1-gram dose regimerr. Overall, the most common side effects in patients receivinpractice group specializing in neonatology If an allergic reaction occurs, the drug should be discontinued and appropriate therapy should be instituted. 1 gram of ZITHROMAXI were related to the gastrointestinal system and were more frec

and pediatric intensive care. Competitive Physicians should be aware that reappearance of the allergic symptoms may occur when symptomatic therapy patients receiving the multiple-dose regimen.is discontinued. Side effects that occurred in patients on the single one-gram dosing regimen of ZITH

starting salary with profit sharing bonus and In the treatment of pneumonia, azithromycin has only been shown to be safe and effective in the 1 % or greater included diarrhea/loose stools (7%), nausea (5%), abdominal pain (5%), v(treafinent of community-acquired pneumonia due to Chismydis pneumonise, Hasmophilus influenzits, and vaginitis (1 %).long-term employment options, clinical posi- Mycoplasms paeumonise, or Streptococcus pneumonia. in patients appropriate for oral therapy. Single 2-gram dose regimen- Overall, the most common side effects in patients receivin

tions needed with academic cissociationavail- Azkhroinycin should not be used in pagents with pneumonia who are judged to be inapproptiate for oral ZITHROMAX' were related t'o the gastrointestinal system. Side effects that occurred intherapy because of moderate to severe illness or risk factors such as any of the following: patients with frequency of 1 % or greater included nausea (1 8%), diarrhea/loose stools (1 4%), vomitirable. Positions available im mediately. cystic fibrosis, patienb with nosocomially acquired infections. patients with known or suspected vaginitis (2%), dyspepsia (1 %), and dizziness (1 %). The majority of these complaints webacteremia, patients requiring hospitalization, elderly or debilitated patients, or patients with signWicant Children: Multiple-dose regimeng. The types of side effects in children were comparabContact: Pediatric Critical Care Medical underlying health problems that may compromise their ability to respond to their illness (including with different incidence rates for the two dosage regimens recommended in children.

Group, 5400 Balboa Blvd., Suite 331, Encino, immunodeficiency or functional aspienia). Acute Otitis Media: For the recommended dosage regimen of 10 mg/kg on Day 1 follPsoudomembranous colitis has been reported with nearly all antibacterial agents and may range in Days 2-5, the most frequent side effects attributed to treatment were diarrhea/loose stoo

CA 91316 (818) 461-8888. severity from mild to life-threatening. Therefore, it is impoftent to consider this diagnosis in patients vomiting (1 %), and nausea (1 %).who present with diarrhea subsequent to the administration of antibacterial agents. Community-Acquired Pneumonia: For the recommended dosage regimen of 10 mg/kg

Treatment with antibacterial agents alters the normal flora of the colon and may permit overgrowth of clostridia. 5 mg/kg on Days 2-5, the most frequent side effects attributed to treatment were diarrtStudies indicate that a toxin produced by Clostridium difficile is a primary cause of "antibiotic-associated colitis." abdominal pain, vomiting, and nausea (1.9% each), and rash (1.6%).NORTHWEST After the diagnosis of pseudomembranous colitis has been established, therapeutic measures should be initiated. Pharyngitis/tonsillitis-, For the recommended dosage regimen of 12 mg/kg on Days 1.Mild cases of pseudomembranous colitis usually respond to discontinuation of the drug alone. In moderate to severe effects attributed to treatment were diarrhea/loose stools (6%), vomiting (5%), abdomilcases, consideration should be given to management with fluids and electrolytes, protein supplementation, and and headache 0 V.PEDIATRIC INTENSIVIST/DIRECTO R treatment with an antibacterial drug clinically effective against Clostridium difficile colitis. With either treatment regimen, no other side effects occurred in children treated wil

PRECAUTIONS frequency of greater than %. Side effects that occurred with a frequency of 1 % or lesi100+ bed children's hospital. Nine bed General: Because azithromycin is principally eliminated via the liver, caution should be exercised when azithromycin Cardiovascular Chest pain.D11-1 - .4 4- , A r- A 4- 4-r- r ft -,% r iz niminictprarl tn nati,-ntq with lmnairpd hpnatir fiinrtinn

Page 6: XNM · 2006-04-07 · MedicalCenter D., Ph.D. 6345HampshireDr. 5320HylandGreensDr. Box 66548 Brian Linde, Riyadh 11586 CMSC7-119600N. ... The~~~~~ June19 23,2000 JR Geore S DielyBuidin

I~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~1

I ~~~~~~~~~~~~~~~~Ma onedalaose

(efficacythat's easy for your little patients totake)~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~a -

COVERAGE OF KEY RESPIRATORY PATHOGENSME

TYPICAL |ATYPICALStrptxcusnemoie Clryapumne

Haemophilusinfluenzae | Mycoplasmapneumoniae~~~~~~~~~~~yMoraxella~~~~catarrIl7alis 1

Im_