Paul Adamson MD MPH

@padamsonmd.bsky.social

ID doc and researcher. Asst Professor at UCLA. Interests in HIV, sexually transmitted infections, global health, & AMR. 🇲🇽|🇺🇸 He/him. Views are mine.

As #AMR in #gonorrhea continues to rise, we were hopeful the #menB vaccine trials might show some efficacy to support the observational data. Still curious to see #MAGI trial results, hopefully soon! There still might be some promising gonorrhea-specific vaccines on the horizon🌅🙏🏽

Gabriele Pollara@gpollara.bsky.social · 4w ago

Disappointing data on meningitis vaccine preventing Neisseria gonorrhoea infections Then again negative trial data is as useful as positive findings, so that we focus resources most effectively #IDSky www.nejm.org/doi/full/10....

Important article in #EID highlighting major gaps in global surveillance of #AMR in N. gonorrhoeae The authors collated genomic data for 212 isolates w/ #penA60, a key allele carrying ceftriaxone resistance, and found 48% were detected in UK and Aus. 🧐🧐 #gonorrhea #STISky doi.org/10.3201/eid3...

Limitations of Global Surveillance for <em>Neisseria gonorrhoeae</em> Antimicrobial Resistance

<em>Neisseria gonorrhoeae</em> Antimicrobial Resistance

doi.org

Sexually transmitted infections are reaching record highs in Europe New surveillance data show cases of gonorrhea, syphilis, and congenital syphilis have reached their highest levels in over a decade. Read more: ow.ly/wSBN50Z2Va4

Gloved hand holding a blood sample tube labeled VDRL Test with options for positive or negative results. The results are marked positive.

First #hantavirus, now #Ebola. Two outbreaks in weeks are a reminder that infectious diseases are a constant global threat & the world is still underprepared. These outbreaks highlight why investment in preparedness and organizations like @who.int matters www.statnews.com/2026/05/15/e...

First hantavirus, now Ebola: What two outbreaks reveal about global preparedness

“Preparedness is not built during a crisis press conference or after a pathogen has already crossed borders,” writes Krutika Kuppalli.

statnews.com

The #WHO just released recommendation of #doxyPEP for #STI prevention among MSM and transgender women Monitoring of #AMR also recommended Research gaps still remain, including long-term impacts on AMR/microbiome and effectiveness in different settings www.who.int/teams/global... #STIsky

Doxycycline PEP

This page provides technical information supporting the WHO guideline on the use of doxycycline post-exposure prophylaxis (PEP) for the prevention of bacterial STIs among men who have sex with men and...

who.int

As (also) a palliative care doc, this message hit home with me: “Antibiotics may be beneficial in some cases and should not be denied to patients enrolled in hospice care.” Sometimes treating active infection improves sxs and is aligned with hospice goals. academic.oup.com/cid/advance-... #IDSky

Antibiotics in Hospice: Applying the Four-Quadrant Approach to Improve Patient-Centered Care

Abstract. The use of antibiotics in the hospice setting is complicated by differing patient goals, elevated side effects, and limited information regarding

academic.oup.com

Exciting research here on the development and lab evaluation of #CRISPR #POC tests for #STIs (chlamydia, gonorrhea, syphilis, HSV 1 /2) Also very interesting they could detect S91F to predict cipro resistance in #gonorrhea POC tests for STIs can be game-changers in many settings #STIsky #IDsky

The Lancet Microbe@lancetmicrobe.bsky.social · 5mo ago

New research article CRISPR-Cas-based diagnostics for point-of-care detection of sexually transmitted infections: a laboratory development and evaluation study www.thelancet.com/journals/lan... #IDSky #ClinMicro #STI #OpenAccess #OA

A doozy of a quote in this profile of the "godfather of vaccines" by @helenbranswell.bsky.social, as he watches his field trend in the wrong direction “All I can say is that I’m beginning to regret having lived so long — because we’re going downhill,” www.statnews.com/2026/03/02/s...

A titan of vaccine development sees his field’s achievements slip away

Stanley Plotkin, the 93-year-old "godfather of vaccines," is watching his field’s achievements slip away.

statnews.com

A case of liver necrosis 2/2 isavuconazole in a patient with genetic mutation leading to low CYP3A5 activity. 😳 Detectable levels 3 months after medication stopped 🤔 Authors suggest ALT/AST testing and TDM in older pts who have longer Isavu courses #IDSky academic.oup.com/ofid/advance...

Liver Necrosis in a Patient Receiving Isavuconazole: Making the Case for Therapeutic Drug Monitoring

Abstract. An 81-year-old man prescribed isavuconazole for pulmonary fungal infection developed high serum transaminases and biopsy-confirmed hepatic necros

academic.oup.com