3
Selecting a place tO practice medicine is one of your most important decisions. At Gundersen Lutheran, in La Crosse, WViS., physicians and other providers feel personally and professionally at home. Metropolitan-scale me-dicine, education and research thrive amid small town character and comfort. Gundersen Lutheran Healt System serves ovrer 500,000 residents in Wisconsin, Minnesota and Iowa. Here, superior care changes lives and communities every day. NEONATO LOGI ST The Department of Pediatrics is seeking a BC/BE Neonatologist to work in our 12 patient NICU. Therc are currently four physicians (one nleonatologist, one PNICU physician, one PICU physician, and one gencral pecdiatrician) who cover the NICU service. Thrce of the doctors cover the PICU service. PICU coverage would not be a requirement, but would be an option. Neonatal nurse practitioners help cover NICU call and do helicopter and ground transports. The Department of Pediatrics has 18 pediarricians, six PNPs, four NNPs, and one PA. Our pediatric subspeci-alty areas include hematology/oncology, orthopaedics, asthma/allergy/ immunology, ophthalmology, surgery, neonatology, ncurodcvelopment, neurology, genetics, and pediatric ICU. We are actively recruiting for a Pediatric Gastroenterologist. Gundersen Lutheran Health Systcm is the western campus of the University of Wisconsin Medical School and School of Nursing. INTER-SlTED CANDIDATES SHOULD CONTACT: Selecting a place to practice medicine is one of your most important decisions. At Gundersen Lutheran, in La Crosse, VTis., physicians and other providers feel personally and professionally at home. Metropolitan-scale medicine, education and research thrive amid small town character and comfort. Gundersen Lutheran Health System serves over 500,000 residents in Wisconsin, Minnesota and Iowa. Here, superior care changes lives and communities every day, PEDIATRIC GASTRAOX%-IE-NTEROX'--%LOGIST The Department of Pediatrics at Gundersen Lutheran is seelcing a full-time pediatric gastroenterologist. The GI department has seven board-certified adult gastroenterologists and a state-of-the-art GI procedure lab available. The Department of Pediatrics has 18 pediatricians, six PNPs, fo)ur NNPs, and one PA. Our pediatric subspecialty a'reas include hematology/oncology, orthopedics, asthma/ allergy/immunology, ophthalmology, surgery, neonatology, neurodevelopment, neurology, genetics, and pediatric ICU. The pediatric inpatient service also includes a twelve patient NICU, a four patient PICU, and a 20 patient pediatric inpatient service. We're more than we're more than great medicine ... . ... a great place to live.. We're more than We're more than great medicine... a great place to live... We offer an excellent compensation/benefits package, including relocation expenses and continuing education opportunities. Interested candidates should contact Gale Kreibich, Medical Staff Development, Gundersen Lutheran, 1910 South Avre., La Crosse, WI 54601 at (800) 362-9567, Ext. 56863, Email: [email protected] or I)r. Richard Strauss, Chair, Dept. of Pediatrics, Gundersen Lutheran, 1836 South Avre., La Crosse, WI 54601 at (800) 362-9567, Ext. 52809, Email: rhstraus0gundluth .org. Dr. Richard Strauss, Chair Department of Pediatrics Gundersen Lutheran 1900 South Avenue La Crosse, WI 54601 800-362-9567 Ex2t. 52809 rhstraus0'gundluth.org Visit our website: www.gundluth.org Gale Kreibich Medical Staff Development Gundersen Lutheran 1900 South Avenue La Crosse, WI 54601 800-362-9567 Ext. 56863 gkreibicO)gundluth.org HEALTH SYSTEM OR ViSit our website: www.gundluth.org We support a safe, healthy and drug-free work environment through background checks and controlled substance screening. EOE/AA We support a safe, healthy and drug-free work environment through background checks and controlled substance screening. EOE/AA 304 AAP News www.aapnews.org June 2004 C~Iudersen HEALTH SYSTEM

C~Iudersen - American Academy of Pediatrics › content › aapnews › 24 › 6 › local › … · pediatricsubspeci-alty areas include hematology/oncology, orthopaedics, asthma/allergy

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Page 1: C~Iudersen - American Academy of Pediatrics › content › aapnews › 24 › 6 › local › … · pediatricsubspeci-alty areas include hematology/oncology, orthopaedics, asthma/allergy

Selecting a place tO practice medicine is one of your most important decisions. AtGundersen Lutheran, in La Crosse, WViS., physicians and other providers feel personallyand professionally at home. Metropolitan-scale me-dicine, education and research thriveamid small town character and comfort. Gundersen Lutheran Healt System serves ovrer500,000 residents in Wisconsin, Minnesota and Iowa. Here, superior care changes livesand communities every day.

NEONATOLOGISTThe Department of Pediatrics is seeking a BC/BE Neonatologist to work in our 12 patientNICU. Therc are currently four physicians (one nleonatologist, one PNICU physician, onePICU physician, and one gencral pecdiatrician) who cover the NICU service. Thrce of thedoctors cover the PICU service. PICU coverage would not be a requirement, but would be anoption. Neonatal nurse practitioners help cover NICU call and do helicopter and groundtransports.

The Department of Pediatrics has 18 pediarricians, six PNPs, four NNPs, and one PA. Ourpediatric subspeci-alty areas include hematology/oncology, orthopaedics, asthma/allergy/immunology, ophthalmology, surgery, neonatology, ncurodcvelopment, neurology, genetics, andpediatric ICU. We are actively recruiting for a Pediatric Gastroenterologist. Gundersen LutheranHealth Systcm is the western campus of the University of Wisconsin Medical School and Schoolof Nursing.

INTER-SlTED CANDIDATES SHOULD CONTACT:

Selecting a place to practice medicine is one of your most important decisions. AtGundersen Lutheran, in La Crosse, VTis., physicians and other providers feelpersonally and professionally at home. Metropolitan-scale medicine, education andresearch thrive amid small town character and comfort. Gundersen Lutheran HealthSystem serves over 500,000 residents in Wisconsin, Minnesota and Iowa. Here,superior care changes lives and communities every day,

PEDIATRIC GASTRAOX%-IE-NTEROX'--%LOGISTThe Department of Pediatrics at Gundersen Lutheran is seelcing a full-time pediatricgastroenterologist. The GI department has seven board-certified adultgastroenterologists and a state-of-the-art GI procedure lab available.

The Department of Pediatrics has 18 pediatricians, six PNPs, fo)ur NNPs, and one PA.Our pediatric subspecialty a'reas include hematology/oncology, orthopedics, asthma/allergy/immunology, ophthalmology, surgery, neonatology, neurodevelopment,neurology, genetics, and pediatric ICU. The pediatric inpatient service also includes atwelve patient NICU, a four patient PICU, and a 20 patient pediatric inpatient service.

We're more than we're more thangreat medicine... . ...a great place to live..We're more than We're more than

great medicine... a great place to live...

We offer an excellent compensation/benefits package, including relocation expensesand continuing education opportunities. Interested candidates should contact GaleKreibich, Medical Staff Development, Gundersen Lutheran, 1910 South Avre., LaCrosse, WI 54601 at (800) 362-9567, Ext. 56863, Email: [email protected] I)r. Richard Strauss, Chair, Dept. of Pediatrics, Gundersen Lutheran, 1836South Avre., La Crosse, WI 54601 at (800) 362-9567, Ext. 52809, Email:rhstraus0gundluth.org.

Dr. Richard Strauss, ChairDepartment of PediatricsGundersen Lutheran1900 South AvenueLa Crosse, WI 54601800-362-9567 Ex2t. 52809rhstraus0'gundluth.org

Visit our website:www.gundluth.org

Gale KreibichMedical Staff DevelopmentGundersen Lutheran1900 South AvenueLa Crosse, WI 54601800-362-9567 Ext. 56863gkreibicO)gundluth.org

HEALTH SYSTEM

OR

ViSit our website:www.gundluth.orgWe support a safe, healthy and drug-free work environmentthrough background checks and controlled substancescreening. EOE/AA

We support a safe, healthy and drug-free work environmentthrough background checks and controlled substancescreening. EOE/AA

304 AAP News www.aapnews.org June 2004

C~IudersenHEALTH SYSTEM

Page 2: C~Iudersen - American Academy of Pediatrics › content › aapnews › 24 › 6 › local › … · pediatricsubspeci-alty areas include hematology/oncology, orthopaedics, asthma/allergy

CLASSIFIED ADS

ZITHROMAX_Y for oral _uq mo)BRIEFSUMU

ethe devlopmnwt of dnug-msasM bacW and maintbin the elbdhees ofZITHROMU (azithtwyn) and*trial drugs, ZiTHROMAX (a myin)shoud be used onlytobS or prewitdontrs thatam pnvon orsuspectd to be cm by baderbL

INDICATIONS AND USAGEUAX(afwWn) is indicale for th tre_vt of patef wffi mfid tDmoderf Wectiors (pnwmorda: seeIINS) caused bysusetl sbSs ofth desgMd m%Wk isn th specific condWm sed below. Aa

1hf dNeIowt ofdnmn-it bac*ha and maintain tha ofellrR s of ZmROA tazfmrmweidni and

New York I am a pediatrician looking for a full or parttime clinic/practice setting in the New York City area. Pleasecall Susan at (212) 717-9505.

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.2vle .' IOWMAIE 1 E Wol(P rA rA

Shnfco=peumonsawwere rootdocumn baceiloial In th pedatrc cW tri dte tD dfannly Inogw*spedmens. LUs of Woyinhfor tfestwo mnFWimIs visupported, hoeer, by Adne from adequandweillconro Odadin aduRs.

Pharyngts/Tonsiliffis (dosap mgmen: 12 mg% on Days 1-5): Safety aindefem In thetr_M of pedFiacp atw l under 2 years of aoe haw not ben nsbbhed.Stodbsmkaa In asofd rpeplde on oltnpy hflnotd bsl eondmM.

oww_ kU: Rwk pwametbrs in oklrvowm (65W5yamr oid) were similrtoDoshu inyugervluers(1840 year old) for D 5hdayuZp c m mDosageasW addoes not WmptD be neoessary for okldrpatfwlh nonwmalJ and hopok cd receivng I_ wilwh thisdosae .p

In multiple-dose cfiricl biWs of or al hwWn 9% of pRerS were at kW 65 years of age (45V/4949) and 31Y9 ofpalierds (144J494) were at bas 75 years of age. No waet diSenoe in wfdt, orotded were obsne bdweenfthe suet and younger subOcs, and odw mported dhnk w" e has not Identifid diflWrnces In responsebsteen the elderlyr and younger petlents, but greater sensifflf of some older indMvduals caninot be ruled out.ZITHROMAX for oral suspension 100 mngtS mL corains 3.7 mg of sodium per 5 mL of cortstftuted soludio.

ZITHROMAX for oral suspension 200 ngW5 mL cordains 7.4 mg of sodium per 5 mL of constituted soluflon.ADVRSE REACTIONS

In clhia ftIs, most of the reportd side efet were rrdiid tD moderate In severity and wommenbie upondiscontimNwon of the drug. Potent ally serious side eflects of angioedemau and cholestac jaundicewe reported rarely.App=ntael 0.7% ofthe pabiefts (adulls and pedeic patierl) fror the 5-daymuffp" ckhde trbias disotiudZITHROMAX (azhrmcnt) thwaW becams of t d side ofefl In adults Ome 500mgk for 3 days, thdiscontinuation rat due to treOn rlted sWdefts was 0.6%. In dinkal tials in pediac paints gin 30 mohg,eitew as a single dose or over 3 daA domndn from th bias dtue tD treatmentied side efecs was

a1%. (See DOSAG ANID A_lNaW.) Most of the side effects badin to diconfnuaZon wereMelabdt Womt act, e.g., rsea, voing, dbrftea orabdoaTdrW pain.

PoftflP_ Sfnk r*adekp4wm The"aeodside dlfects In peDRicpaNerYwere comabletDftoseesn in aduKs whh dliSent Inde rts for the dosaoe regimnsmcxnurd in pedcf pairSt.

Acut 0t* Medi For the mcormended tW dosae imom of 30 mgf, the most freuent skie effects (;-*1%)affbed tDUwtrentweredirtw,abdomninal pair,vomflng. nauscaand rash. (See DOSAGE AND AOIIIIIRAllON.)The bdec, based on dosing rgimen, is described in thle table belw.

Do_Dafha Abdok% Voniong, % Na_a % Rah

I -ay 4.3% 1.4% 4.9% 1.09; 1.0%3-da 2.6% 1.7% 2.3% 0.4% 0.6%5-M 1.8% _ 1.2% 1.1% 0.59% 0.4%

Cormmwny-Acquhx Pneumonia: For tine rc me dosagoereoimen of 10 mgAkg on Day I fodbwed bly5 mg/fi on Days 2-5, the most xquent side skf afrbed tD treamnt wemdbnhos ofto (5.8%), abdomhapain, vornifth, nauss (1.9% each), and rash (1.611/e).PhgyronlsiIRl": For therom _m dosg regkn of 12 mS" on Days 1-5, th most fr0quent side ekff

altlbuted to Vebn were diart0 (5.4%), vrniU (5.6%), aboina pain (3.4%), nauseaa (1.8%). rash (0.7Ne), andheoadadw (1.1%),

Wflh any of th tbOnt regn no oer bOrnen- d side dleds occuned in peltrc prils hdi wlFZffHOMAwlataquewygreaertn 1%. Sideefdstloccured wftabaquencyo 1%orlss tfidedfthbNlw*CardW_br: Chest pain. 6a*ko' I1 1k Dyspepsia corsgpation, arnd otut flainos, gas,t lundice,boose stols and ofal monilWA& He Whoc ad11 p_le: knba and leukopenla Merv dSpn Headache(atifs mea dosage), hyprlMesla, dWziness, agtl ervoss and InsomnhL :& W Fewe, faos edea WJLFe,fungal hon, naale and pWn. AIbqk:l Rash and albWgc reaclion. Ro_**W Cotugh _wasd, pharnitspleual efffusion and rhinft Sldn uld Appmags Ec2ma funpa dffats pnrutus, swang, urtbari andvesuobullous rash. Spedhl Se_: ConjurnfPos-0akt Exparl: Adverse emens reported wffh a Dmmc dudng the pos-makeng pfd In aduk andorpedbtric patfor whid} acawW mionship may not be estalEd include., Al* Arthralgia, edma, udia andangWedema Carle astlr. ArrtMiabs including venticular UcWy iar and IbSWm. Them have been rarereport of OT proongal and 0sds de pohZ Ga_r*sB l: Anorea, ,nbab dysppsia, f1atuncevomfrninhe rarl resuftng In dshydrion psubmebanous cobs. pwrart oral candidbs andrameports of ftw dscobaZin, 6_al: Asthnia, pamsbti. lidgue, marWe anda apwq*Ad (farely).GeillWnary IrSrsMff rephrrds and acute renal flSlum and va*f HutmllopoW: Thromrwnia.LhewrMlilW AbnoiW Mr hunct ionckuding lepas and cholettc ,unice, as weR as r ae c of hapaticerosis andhepatiMore, somcof w0hich hr esLtdW in deat. 11b'n_tft Cmwonuibs,dIzines&r

headaclt wsoWn. Iypera , r,mw aMo and syncpe. Pndca Agesv nwd and weft.PhM_g,Prraely serks sion reactiom indudng erahm mulom, Swamn Johnson Syndmmfe

and toxic opepmalen necrolyis Spaedla Sam Heanng distrbancs Including hof loss, deafnd/or tinnEsard rare reports of WMt perverskbn.Labororyhmmlll1wPedb: :d f On, Thm and Rne Da Regme LaatDy data collbded from comparM ctink ftlsempkoyirig two 3-day regimrn (30 mVS or 60 mg% in dvide doses ome 3 days), or two 5-da reo(30 mgAcg or 60 mgt In dhded dosm over 5 days) were simNar for regimens of azfflmmyc n and aN soprlroomnbined, wkh ffxo cW iy sigflcw oW k nabfry occurring at irces of 1-5%. laborty data forpsW reoshh 30mg% as a shinge dose were colbctad In oneskocmW tr ial. In #0trial, an dxarohSnehicount b*ten5O15001Q celW/rrn was obere In 1064 pabers niMng 30 mg% as a single dose, SW paintsreceiving 30 mgllg ghmn over3 days, and 8163 compratr ppitm t. No paftbt had an abslt npbM count <500c.MW (See DOSAG M D11ST110TO.)Inlmultlpe~ clinki trias Invoting aprkaey4700pckf paff, no paisoftndnwdO thapy beuse

of batrnent-rei bbraowy [email protected] ANDADO ISTATIN (See INlDICAIONS MD USGE)

tWbWktPiof ZTHROWW( for ora susp_o can bze lake wNh orwflu food.Amb OtNk Nbdb: The recormfended dose of ZrrHROLW for oral suspenshn for th taaSnt of pediari paietswkh acusmoftmdia is30 mg%ggvo as asingedoseor10 mr nohedailyfor3daysor 10 fkgfasashviedoseonthenflstdayfollowed by5 mg dAyfton Days2twou 5.AIbd"aW Svf The moornmended dose of ZllHRWWr for orisuion for the tvbnnt of pedriat

patiefts whi acute iblW sinuffl is IO mg%l once daiy for 3 days,Community4kequired Pn_1ma: The recomnmended dose of Z-HROMAX for oral suspension for the treatmentof picf pafnis wih coxmnuniy acquired pneumrdoa is 10 mg/lg as a single dose on th first day Woed by5 mghg on Das2through5.

Thesa",ot re-dosbigniff nnpSeditrwovicpabftwo ofetafiigteremg 3 mgtUasasingledose has notbeen astablisha. in ciinka studies Iving 487 pasf wbf amut oftf media gNen a singl 30 rnovk dose ofaztthromydin, eigt abnts who vomdbd within 30 minute of dosing vere m-doea at the saffe tolal dose.PheqiryngifatlIfti Th recommended dose of ZITHROMAX for children with pharyngisEonsilliSs is12 mgAc once dalyfor5 days.Fornms ld1iWil*w71k&Wio pbGsw r8 tt Ul Mm1&n in aion orall 1, 49-347

Relv.4 January 2004

CLASSIFIED :00ADVERTISING POL CY

When you need to contact pediatricians,contactAAPNews. Each month more than57,000 pediatricians. pediatric specialists,third-yearpediatricresidentsand othersub-scribers turn toAAP Newsfor child healthinformation theycannotgetelsewhere Witha classified ad, you can speak directlyto those readers.Although the Academy believes these

classified ads are from reputable sources,theAcademy does not investigate the offersmade and assumes no responsibility con-cerning them.

Occasionally, it is necessary to modifythe wording of classified ads. Thesechanges are generally made in compliancewith the regulations of various federaland/or state commissions against dis-crimination or because they might beinterpreted as being unlawful or in con-flict with accepted professional standardsof medical practice.

These advertising modifications aremade to maintain a classified section thatis professionally responsible, lawful, sci-entific and free of discrimination.

Publication of an advertisement in AAPNews neither constitutes nor implies aguarantee or endorsement byAAPNews orthe American Academy of Pediatrics of theproduct or service advertised or of theclaims made for the product or service bythe advertiser.

Classification: Classified ads areaccepted under Business Services, GeneralAnnouncements, Medical Meetings,Physicians Wanted, Positions Wanted,Practices Available, Publica- tions, RealEstate and Residencies/FellowshipsAvailable.

Display Classified Ads: Camera-ready,4-color, 3-color and 2-color display classi-fied ads are accepted under GeneralAnnouncements, Medical Meetings,Physicians Wanted, Positions Wanted,Practices Available and Residencies/Fellowships Available. Contact RolandKeve, TheWalchliTauber Group for displayclassified ad sizes and rates.

Formore information, contact: RolandKeve, TheWalchliTauber Group, (443) 512-8899, exct. 10i or fax (443) 512-8909. Ad:copy is to be sent to: The Walchli TauberGroup, 2225 Old Emmorton Rd., Ste. 201,Bel Air, MD: 21015. Payments are to bemiailed andmade payable to TheAmericanAcademy of Pediatrics, Dept. 77-5194,Chicagro, IL 60678-5194.

ARqcult anldsuWSb tetssould be p te bd hOen tDdtrief a"amo dmo

1su boo" eadb amkrbialfrpydwi beadAstdacr l.

ZITHROMAX Is contraindUdea In patients with known hypersmsnsii to azithromycin, erythromycin or anymacrolide antibiotic.

Serious; allbrgic ratos Wuin angix_r anaphyNds and dem gc mwn ckdng StmrLs JohnsonSyrdxrneand toxic epkdema necolsis hm bwn mepoedrarel in paentson actmiyn hay. Alouh ram,SlalWkes hav ben reporbd. (See CO MIMUlICiAMlOII) Desf Iitifall sucsceedI sympmad b rt of thealbrf sypqtoms, when sympUntc theay was disconfinued, t agic vfn ms mawmd soon Illis hneI

ioepff wl_t lrf adOmmoi so . Tts palbnts reqtisd pmbW* pelods of obsvaon andsyrnpWac tret_n. The rionshWofOm epds to dembngftishalf4Hfeof aWmv n and subsequetprolonged exposurc toa~ Is unkulwn at prnsrL

If an allergic maction occurs, the drug should be disconffnued and appropriate therapy should be instituted.P"scians should be aware that reappearance of the allergic symptoms may occur when symptomaflc therapyis discontinued.h go b_e nl of pn_boif, ag nicsha r ilsben s_ to besOand dbecM Indb _b. Fol

cot y-plred p_-bl du t ChbAbO pmw_,W9 Hhw* As bw n sA4vp__or Skp_ _IpwaAbn paif _*mr-tfor or; _wapy. A_twc sbdd not be

udInprlM w Nhm-albama o beI_ppoplof rw i_otM wdrbbtUb orfskl d " nwWeMI1dipU IhwNcftfloiEplilwl:_whqkpsoomblita irodklhN i _ _Pa fwM~ ompe_ls Bb~co ,pafrpdbilB oqli Dftik ll,e8iwlyodbOYApesn-or paiet wNh Ip = 4itbilNkmMems WiFmay copo_ Voi abNIito moen lodwrMael(-udiig isnmuo dditboqorh _Im uplenb).

P_I _ ImRiw rUpodedwN neet allmObblM pim a9erm IngRwivr lfomndidi to 1194enut. Th1_to N Is khll o eezde Ihil dlaonoi In pia who pmtwilh dkd

Tatrnt wff an blt agarSa_sthenm oora the colon and may pffrmit ov ow h of cltida Studesindicathat aaxnprdced by Clostdkimdc is a prSy causofad 14 oatAed cotirs."

After the dbwnois ofds memWaousc has been es AM tweapeudc meaums shoul be inffles. Fifldcassf pssudoenwibs cos wuay respond todmiMm of the dnV alne. In modere to sww came,coddn sWdbceghentDmanT wNhfluids ande s ,p en s,-mm and baaent wkth anaitctr drug clinic* aWwefsagainstCnOg d4 colis.

PRECUTNMOGlm: Bcause azUtromywcin is porindpaly dminatd via the Wr, cauton stMoiblemc when azhromycin is

administemd tD paftsr with impairsd hopa0c fucdon. Due tDthe lnimitd data in sucts with G R <10 mUlmin, cautonshould be ms when prcscribing dBaghmycn in thc6e pafrS

PordonmW cardiac repobarization and OT inlrvai, imperdng a risk of deveoping cardia atW ni anditw aspa#es thae boo seen in treabnent wffthow macrolides. A simiiar dffet wffl azitroyi cannot be comnpie*s ruledout in pafies at inrasd risk for probng0d cardiac repWaon.

Pxscriing ZITHROMAX (afthrmycin) in the absence of a prwovn or strogl suspected bacrE infedon or ap:ropyec ndtg is unlikly to pmvide bnft to th p and kxa h risk of th devlopmenof drug-retnt: bacteriaI lor_l fbrPlbn: ZTHROMAX oral supnin can ioeWmS wth or whtou food.

Paftints should also be cautioned not to take aluminum- and magnesium-containing antacids andazithromyecin simultaneously.The patent should be directed to discontinue azftbromycin immediaetly and contact a physician if any signs of

an allergic rewction occur.Patients should be cownsed that anfibactrsal drugs Including ZITHROMAX (azfthrmcin) should only be used tobW

batr irdb. They do not bW Ara Wecdon (eg., ft comnmon cold). When ZITHROMAX (azithrmycin) ispibed to txaa badeblbnbon paftits dd be told thtWwalht is cuwnw tD feel bettr lyIn the courseof ffie # x, th mdionb should be Wmb mocty as directed. Sldppkv doe or not compbithe 0courlCUSe ofnrp may (1) dw secthe erfWvw of dto iTmrr Went and (2) ircras the likelihoocitt bacSawMdevlopres_ and wAI not be treaa*byZiTHRMAX (azflhromydn) or oNera rba drop in ft future.Ong Madlo Co-dmnsrto ofneavratstedystt wNh a sing oral does ofta0ryi reutd InhincrdbaLVoyi serum w &ans Alhuh a dose adMVto baz cnyis notrm w whenadh*Wicob nO wh nedfinr, cbss _vruf for loww sidds K ofaf hrmyir, wsuh as twr meyabomliisandhat iyVmpa tismFwaarf. (SeeADOS MN.)Azkhmmycin cW nDt affod th pWoA time response to a singl dose ot warfarn. H*wew, pnixnt mKkai

prarcft didscta rim mf onitnonring of gno*nbin tLm In all patients d wfhafi myci andi arincocornltntl. Concunent use of ndeshf and warfainin ci-irNca praoe has been assca wffh inrawsedaXooaultekfie.Druinleraaon ssf wer pefridA a&xWiFand other drugQsWey to becDooadministred. Whanused Inftpec dows awnoycdn had a modes effec on the phrmoinics of atraaln, pbarimimetifrizine,dWianosnn, etvWer. fluconazol, indinaw, midawWxn, [ffabub, sildrfi, Ireho (bbavriu and oal), ftziamb,tdmt s d e or Mdwudne. Coaminisliabon wlh ek*ere, or fluconazob had a modest ~fs on th

np krMlC of aftoyn. No dosage adjusUnent of Wmh drug is recommemled when azthamycin iscmwfth any ofthe aboweagersInlad vA the drugs lidd below have not been reportd in cb trals wkfi atdaomych; howewr, no specilic

dnug kacn sWWbs bwebenPdfm tD evalua poWnlnai dru-Suo inaion. Nonteess, Om haw beenobsevd wfit mw bd products. Urdil futw data arc developd regardin drug in nsm whn aftmmcn andfse drugs are used concomitaft careful monbn of pents is advaDionevtd tWdncocnns,Ergtamine or d1hydroeromrine aculsea" cily dhaadried by sA WV"pfl vkspasm and dssMsaTerWne, ajdosporkhe, hmoo and ptiyonconbj

Labo" Te d1- r_Ni hem are no rMotd WbbotDty t interactions.Carelesagols, Nhbgnes, Impairment of Fer0lity: Long-terrn studies in animals have not beenperforrncd tD evaluate carcinogenic potential. Azithromycin has shown no mutagenic potentia in standard

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Physicians WantedPlanning retirement. Thriving practice in beautifulsouthwestern Montana. A wonderful opportunity for a"imature" pediatrician looking for a positive life-style andgratifying office based practice. (406) 363-5013 orBlaiseEsvpeds.net.

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GENERAL PEDIATRICIANSNorth Shore Children's Hospital in Salem, MA, a memberof the Partners Health Care System, the parent organiza-tion of the Massachusetts General and Brigham andWomen's Hospitals, has full- and part-time positions in ournew PEDIATRIC EMERGENCY ROOM. This is a challeng-ing opportunity, with immediate openings that will alsoinvolve resident and medical student educationas well as some inpatient care. For more infor-mation, contact Edward N. Bailey, MD,Director, North Shore Children's Hospital, 57Highland Ave., Salem, MA 01970; e-mail: [email protected]; phone: (978) 354- cOf b

2818. EOEot

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Central New Jersey - Full-time physician for ban*large, privately-owned pediatric group. _uoCompetitive salary, 401 K, health and disability bd'insurance, paid vacations. Fax CV to (908) 253- comm

6559.

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laboratory test: mouse Iyrnphoma assay, human lymphocyt clastogenic assay, and mouse bone marrowclastogenic assay. No evidence of fImpaired ferdlity due to azomffycin was found._rV WTertenc Effcts. PrgnanWCat B: Reproducdon sbjies hm been perlomed in rats and nice at

doses up toDrmoderatey matenal toxic dose conettons o.e., 200 moWtday). These doses, based on a mohSbasis, are esUimatedto be 4 and 2 m, repetvely, the hNm dally dose of 500 mg. Inthe manl sudies, noeenoeof harrnto th Mehidue tDaNoyi was found. Ther are, howr, no adeut and wdcorbNed sidles inpmgnat wome. Bcause anta reproduco slxdW are not alwy mdfeM of hua r4nesp ,aVoydstiould be used durk p yrc orgy I deal neededNwa to0_t t is not blow whO azNhromycin is ovtd In hurnan milk Peu many drugs are dvte inhumm mrilk cadon should be mcbaed when aithromrycin is admnisntd D a nursing woman.Pedbtk Usr: (See INiOlCniONS MD U814 and DOSAGIE AND ADIlNlT"AllOI)

Acute Oft IYdha (lo dop rgimen: 30 mgAhol see DOSAGE ANJD AMOIISTRATIONI): Safet and e fin__.---8 ..J -&--A- ..-A-. ____- _ _- -Ck.

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,wWVi LIUW#MtS VAF-w^w&-WAI _R liiimi Uf GIMUmetm UR _w rwwmv-_touloiiul -7w,-th "MY of pedatric pnern wit W s mei under 6 month of age have notn _Wtlhe.ibacterbal drugs ZTHROMA (azfhfmyonb)dA be used ontytobi or prsnt Infetion S"arpm or Acut BaRerWi Sinw6ffi (dosage mgoWn: 10mgf on Days 1-3); SFafel dmell in toItearrtofpedftksupce tD be cause by susoapble bactea. When cuture and suaeptbilNy hfmO am avab¢e ft patmswtflaacbacWr sinusitsunder6mwfsofg avnotbeenasb nbbWe.Lise ofMnew&forth ftente cor#ered in nbseeng ormodf sanpybW t In th abmncof such datk local pWnbA and of acutebwSl sws in pedWk palbeds (6 morft of age orgm" is suppre byadnM adw~ellchrlebHPONMayobofom pil USdn-)rp shdmInadults, simlar pi -npw*viofaduwatinadsandpeZk pam ad *xtofac;eotnsmedi

ch:tSlll_1__) ~~~~~~~~~~~~~~~~~~~~~~~inpekarcpaffomobci by Ha/W hAma Alrm caMth or Sbvtccus pfwxummawa (For ComnmtoW a imonl (dop mgkne: 10 mgA an Day 1 folbwed by 5 mg% on Days 2-5): Safet andJoag ,mu sm OSA13E ANDA_M TR10N) Ife smI theVw& of pedhti pAnts wit communiFcquird priam rx 6 mont of age hav notmft-aq*eW pumemob dUe to Chamyds pneumonbe. HmmophA Influenza, Mycoplasw bsreswbkdre Saftansd dft#ssbfrpn iaduetDAo l pnwmw ad )pLwpe ni_wo hpoconwoiipatirtppopd*fororalbrapy(FDrpcdosafiecdo alin wer docm in pdlotcldin ticalis. Sahly ad elbdhen,, for pnemon!ddue IDHa,ht0 and

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One 30l-mg/kg dose of Zithromax delivers the eficacy, CM2 oe fAgetnei ct ttsmda

*Single Dose Zithromax has effcacy comparable *A subset analysis also revealed comparable *Zithromax is well toleratedwfwth Augmentin at end of therapy (87% vs clinical success rates between Zithromax -The overall incidence of adverse events88%) and test of cure (75% vs 750/oja and Augmentin in patients aged 6 months was 1 6.8% for Zithromax compared with

to 2 years' 22.5°/ forAugmentin'