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AFP - October 15, 2000
Cover Article Acne Vulgaris Acne Vulgaris
Cover 1823 1823
Articles

1815
Cover Article
The AAP Practice Parameter on Urinary Tract Infections in Febrile Infants and Young Children
KENNETH B. ROBERTS, M.D.
Because of its associated morbidity, frequency, cost and variation in diagnosis and management, urinary tract infection in children was the subject of a practice parameter developed by the American Academy of Pediatrics.
1823 Use of Systemic Agents in the Treatment of Acne Vulgaris
BETTY ANNE JOHNSON, M.D., PH.D., and JULIA R. NUNLEY, M.D.
Effective treatment of inflammatory acne vulgaris usually requires oral medication using systemic antibiotics, combined oral contraceptives or spironolactone. Severe nodulocystic acne that does not respond to these agents may be treated with isotretinoin, but physicians should exercise caution when prescribing this drug because of its extensive adverse effects.
Patient information: "Using Isotretinoin the Right Way for Acne," p. 1835

1839
Practical Therapeutics
Using Progestins in Clinical Practice
BARBARA S. APGAR, M.D., M.S., and GRANT GREENBERG, M.D., M.A.
Important clinical functions of progestational agents include regulation of the menstrual cycle, prevention of endometrial hyperplasia, treatment of abnormal uterine bleeding and contraception.
Patient information: "Progestin-Only Contraceptives," p. 1849

1853
Cardiovascular Medicine Update
Optimizing Beta-Blocker Use After Myocardial Infarction
PATRICIA A. HOWARD, PHARM.D., and EDWARD F. ELLERBECK, M.D., M.P.H.
Underuse of beta blockers after a myocardial infarction may stem from fear of adverse effects, especially in elderly patients or those with diabetes or heart failure. However, these are the patients who derive the greatest benefit from beta-blocker therapy after infarction.
Patient information: "Taking a Beta Blocker for Your Heart Problem," p. 1865
1870 Topical Fluoroquinolones for Eye and Ear
NANCY E. MORDEN, M.D., and ETHAN M. BERKE, M.D.
Topical fluoroquinolones are safe and effective in the treatment of certain bacterial infections of the eye and ear.

Departments
1749 Inside AFP
1750 AFP 50 Years Ago
1757 Newsletter
1761 Quantum Sufficit
1765 Clinical Quiz
1771 Editorials
  • Why Aren't We Using Beta Blockers After Acute MI?
  • Family Physicians and Accutane
  • Urinary Tract Infections: 2000 Update
1783 Letters to the Editor
  • Pneumocystis carinii Pneumonia in HIV-Infected Patients
1786 Corrections
1787 CME Calendar
1807 Diary from a Week in Practice
1877 Conference Highlights
1880 Tips from Other Journals
1915 Practice Guidelines
  • Guidelines on Migraine: Part 2. General Principles of Drug Therapy
1918 Clinical Briefs
1922 Medical Products and Services
1923 Classified Information


Cover Illustration © 2000 John W. Karapelou, Columbus, Ohio.
Copyright © 2000 by the American Academy of Family Physicians.
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