Sign in

Paul Adamson MD MPH

@padamsonmd.bsky.social
703 followers 830 following 188 posts

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

PostsRepliesMedia
Paul Adamson MD MPH @padamsonmd.bsky.social · 27/07/2026
Wow - big news indeed! #zoliflodacin for #gonorrhea was just approved by the Thai FDA! I'm very curious to follow its availability, cost, and use, in which patients and which settings? And, with anything related to gonorrhea, to follow #AMR. #STIsky #IDsky
160
Reposted by Paul Adamson MD MPH
Alicia Ault @aliciaault.bsky.social · 22/07/2026
Inquiring minds want to know: "How did human excrement get into our food?" It's going to take a lot of investigating at the source(s): in the fields where these vegetables are produced. #cyclosporiasis #parasites #foodsafety #farmworkers #IDSky #EpiSky
nytimes.com
Cyclospora Spreads Through Human Feces. How Did It Get Into Our Food Supply? (Gift Article)
The large number of cases suggests that excrement entered the food system on a “surprising scale.”
011
Paul Adamson MD MPH @padamsonmd.bsky.social · 16/07/2026
A great essay on maintaining our humanism in medicine. Definitely worth a read! By the one and only @nottheogdrv.bsky.social Mixed Nuts, Unsalted academic.oup.com/cid/article/...
academic.oup.com
Mixed Nuts, Unsalted
I reach inside the orange plastic bag and grab a fistful of unsalted mixed nuts. I draw a particular comfort from the sweet buttery cashews. I tolerate the
112
Paul Adamson MD MPH @padamsonmd.bsky.social · 16/07/2026
Really interesting real-world data on viral suppression among people living with #HIV initiating Cab/RPV. #HIVsky #IDsky
020
Paul Adamson MD MPH @padamsonmd.bsky.social · 15/07/2026
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🌅🙏🏽
021
Reposted by Paul Adamson MD MPH
Jonathan Ryder, MD @jonathanrydermd.bsky.social · 10/06/2026
New in @cmijournal.bsky.social: "Which trial do we need? Evaluating plasma microbial cell-free DNA in blood culture-negative infective endocarditis" #IDSky @absteward.bsky.social www.clinicalmicrobiologyandinfection.org/article/S119...
064
Paul Adamson MD MPH @padamsonmd.bsky.social · 10/06/2026
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...
doi.org
Limitations of Global Surveillance for <em>Neisseria gonorrhoeae</em> Antimicrobial Resistance
<em>Neisseria gonorrhoeae</em> Antimicrobial Resistance
121
Reposted by Paul Adamson MD MPH
CIDRAP @cidrap.bsky.social · 21/05/2026
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.
01314
Reposted by Paul Adamson MD MPH
Krutika Kuppalli, MD FIDSA @krutikakuppalli.bsky.social · 16/05/2026
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...
statnews.com
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.
04118
Paul Adamson MD MPH @padamsonmd.bsky.social · 21/05/2026
The WHO launched a survey to understand preferences, acceptability, feasibility, and equity to help inform upcoming #gonorrhea treatment guidelines Please consider doing the survey and pass it along! 🙏🏽 Very important for community members too! #STIsky #IDsky www.who.int/news-room/ar...
who.int
Global survey on values, preferences, acceptability, feasibility and equity to inform WHO gonorrhoea treatment guidelines
WHO's Department for HIV, Tuberculosis, Hepatitis and Sexually Transmitted Infections has launched a global survey to inform future WHO recommendations on the treatment of gonorrhoea, specifically to ...
002
Reposted by Paul Adamson MD MPH
Paul Adamson MD MPH @padamsonmd.bsky.social · 20/05/2026
Our full paper on this was just published and provides add'l insight into #HIV & #syphilis co-testing among patients receiving CT/NG testing in the #ED • Complete STI testing was low (<12%) • Disparities by race/ethnicity and sex • Co-testing 📈 over time #EMsky #IDsky 🔗 doi.org/10.5811/west...
doi.org
HIV and Syphilis Testing Among Patients Tested for Gonorrhea and Chlamydia in Emergency Departments
Author(s): Sherwood, Kyla; Zhang, Neil; David, Hollie; Dekker, Annette; Garner, Omai; Samuels, Elizabeth; Adamson, Paul | Abstract: Introduction: Sexually transmitted infections (STIs), including HIV ...
111
Reposted by Paul Adamson MD MPH
Clinical Infectious Diseases @cidjournal.bsky.social · 18/05/2026
Missed Opportunities for HIV and Syphilis Co-Testing in Emergency Departments ✅ Just Accepted 🔗 bit.ly/4dif5sN
031
Paul Adamson MD MPH @padamsonmd.bsky.social · 20/05/2026
Testing for #HIV in Emergency Departments is so important Thought this was a great paper describing a multimodal approach, incl EHR alerts, that increased HIV co-testing with #chlamydia & #gonorrhea testing in the ED - with 5 new HIV diagnoses made 🔗 doi.org/10.1093/cid/... #IDsky #MedSky #EMsky
academic.oup.com
Increasing HIV Testing During Gonorrhea and Chlamydia Evaluations in Urgent Care and Emergency Departments: A Large Health System Initiative
A diagnostic stewardship intervention increased HIV co-testing in patients being tested for gonorrhea/chlamydia in urgent care and emergency departments. N
181
Paul Adamson MD MPH @padamsonmd.bsky.social · 18/05/2026
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
who.int
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...
011
Paul Adamson MD MPH @padamsonmd.bsky.social · 14/05/2026
Wow - very interesting case of a cerebral syphilitic gumma. Great to see such a rapid response to #penicillin. CNS infections are so often hard to diagnose, but the results can be profound. #Syphilis never ceases to amaze! #IDsky #STIsky #MedSky @nejm.org www.nejm.org/doi/full/10....
nejm.org
Cerebral Syphilitic Gumma | NEJM
A 50-year-old man presented to the ED with a 1-month history of headache and worsening weakness of the left arm and leg. Brain MRI showed an enhancing lesion with extensive surrounding edema.
142
Reposted by Paul Adamson MD MPH
Luiz Pedro Carvalho, PhD @luizcarvalholab.bsky.social · 25/03/2026
All currently approved antibiotics inhibit essential cellular processes. Ever wonder if we could kill bacteria using the opposite strategy? Here, we demonstrate an alternative antibacterial strategy: lethality through pathway over-activation. www.nature.com/articles/s41... (1 out of 3)
nature.com
Activation of l-histidine biosynthesis as a new antibiotic strategy against Mycobacterium tuberculosis - Nature Communications
Here, the authors report metabolic activation as a potential antimicrobial strategy against Mycobacterium tuberculosis. They show that supra-physiological activation of&nbsp;L-histidine biosynthesis r...
66832
Reposted by Paul Adamson MD MPH
Ilan Schwartz @germhuntermd.bsky.social · 12/03/2026
Antifungal susceptibility testing across fungi: why MICs vary, methods diverge, and what MIC can miss Cornelia Lass-Flörl and colleagues Open access in @cmijournal.bsky.social www.clinicalmicrobiologyandinfection.org/article/S119... #IDSky #MedMycoSky
clinicalmicrobiologyandinfection.org
Antifungal susceptibility testing across fungi: why MICs vary, methods diverge, and what MIC can miss
Antifungal susceptibility testing (AFST) is central to antifungal stewardship; however, MIC results can be variable and may require careful interpretation because endpoints can be ambiguous, clinical ...
0229
Reposted by Paul Adamson MD MPH
UW Infectious Disease Fellowship Program @uwidfellowship.bsky.social · 05/03/2026
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
academic.oup.com
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
041
Reposted by Paul Adamson MD MPH
Ilan Schwartz @germhuntermd.bsky.social · 05/03/2026
Kaposi Sarcoma–Associated Herpesvirus Infection and Complications Among Solid Organ Transplant Recipients — United States, January 2021–September 2025 New in MMWR -46 cases of susp donor-derived KS in SOT, vs 9 from 2016–2020 -2/3 donors had a hx of nonmedical drug use www.cdc.gov/mmwr/volumes...
Reports of organ donor–derived Kaposi sarcoma–associated herpesvirus among transplant recipients (n = 46) and investigation of additional recipients* — United States, January 2021–September 2025. 

* Retrospective KSHV testing of the 46 donors whose organs were associated with posttransplant donor organ KSHV infection identified 25 (54%) who received positive results and four (9%) who received negative results; organs from 17 (37%) donors had not been tested.Number of reports of suspected organ donor–derived Kaposi sarcoma–associated herpesvirus infections in transplant recipients (N = 57) — United States, January 2010–September 2025
3146
Paul Adamson MD MPH @padamsonmd.bsky.social · 05/03/2026
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
074
Reposted by Paul Adamson MD MPH
Josh Davis @gurujosh.bsky.social · 05/02/2026
My top 10 ID papers for 2025. Full citations and descriptions available at clarityinitiative.org/hot-takes Also see/hear our Communicable podcast episode on this at communicable.transistor.fm/episodes/com... What were your top 10? Any thoughts about what I missed welcome! #IDSky #Top10papers
13210
Reposted by Paul Adamson MD MPH
anil oza @aniloza.bsky.social · 02/03/2026
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...
statnews.com
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.
043
Reposted by Paul Adamson MD MPH
Jonathan Ryder, MD @jonathanrydermd.bsky.social · 01/03/2026
New PJI study in @ofidjournal.bsky.social: Largest restrospective study to date of doxycycline use for PJI treatment with encouraging results All doxycycline use was in combination though, primarily rifampin. Limited to Staph, Coryne, & Cuti #IDSky #OrthoID academic.oup.com/ofid/advance...
academic.oup.com
Effectiveness of Doxycycline in Combination with Other Antibiotics for Gram-Positive Periprosthetic Joint Infections: a Causal Inference Study
AbstractObjectives. Doxycycline is occasionally used as step-down therapy in periprosthetic joint infections (PJI), but evidence supporting its efficacy is
1173
Reposted by Paul Adamson MD MPH
Joanna Schaenman, MD, PhD @jschaenmanmd.bsky.social · 01/03/2026
We are still accepting applications for our #TID fellowship/advanced training year at UCLA for 2026-27 ☀️ 🌴 - please reach out w any questions about this opportunity! recruit.apo.ucla.edu/JPF10380 #MedEd #IDSky @txidfellows.bsky.social @ast-idcop.bsky.social @idsainfo.bsky.social @idjclub.bsky.social
recruit.apo.ucla.edu
Transplant Infectious Diseases Career Development Position 2026-2027
University of California, Los Angeles is hiring. Apply now!
074
Reposted by Paul Adamson MD MPH
Gabriele Pollara @gpollara.bsky.social · 01/03/2026
Good overview of an increasingly rapid-evolving field, including newly updated guidelines, non-antibiotic treatments and focus on quality of life. #UTISky academic.oup.com/cid/advance-...
academic.oup.com
Uncomplicated Urinary Tract Infections: From an Invisible Impact to a Visible Change in Complex Care
Uncomplicated UTIs may have high recurrence rates in subsets of patients, causing a substantial burden. Increasing antimicrobial resistance in uropathogens
193
Reposted by Paul Adamson MD MPH
Madhu Pai, MD, PhD @madhupai.bsky.social · 26/02/2026
WHO now recommends near point-of-care tests, tongue swabs, and sputum pooling for TB diagnosis! Big advance!! www.who.int/teams/global...
24413
Reposted by Paul Adamson MD MPH
Joseph Marcus @josephmarcusid.medsky.social · 28/02/2026
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...
academic.oup.com
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
3145
Reposted by Paul Adamson MD MPH
Sébastien Poulin @sebpoule.bsky.social · 26/02/2026
🤨Comparative Effectiveness of 3 Benzathine Penicillin G-Based Regimens in PWH With Early Syphilis #CROI2026 credits @ hivvirology
032
Reposted by Paul Adamson MD MPH
Matthew Hodson @matthewhodson.bsky.social · 25/02/2026
Final results from a huge French PrEP study finds both daily and on-demand (aka 2-1-1) oral PrEP are safe and effective for HIV prevention. #CROI2026
aidsmap.com
French study confirms efficacy of on-demand PrEP
Eight years after it started, the final results of a large French study that offered a choice of daily or event-driven oral PrEP (using tenofovir disoproxil/emtricitabine) were presented at the Confer...
1309
Paul Adamson MD MPH @padamsonmd.bsky.social · 27/02/2026
The #GoGoVax 🇦🇺 trial of the #menB vaccine against #gonorrhea among men observed no effectiveness. Results obviously disappointing, as we need more tools to prevent gonococcal infections, esp as #AMR rises. Some hope for #MAGI study 🙏🏽 #IDSky #STIsky #MedSky #CROI2026 www.healio.com/news/infecti...
idse.net
052
Paul Adamson MD MPH @padamsonmd.bsky.social · 26/02/2026
Important paper about how we treat #syphilis - are 3 doses of benzathine #penicillin G needed for late or unk duration infections? Using surveillance data, no differences in 1 v 3 doses of BPG (or vs 28d of #doxy) were observed. We need a trial👇🏽! #IDsky #STIsky academic.oup.com/cid/advance-...
academic.oup.com
Is three really what we need? Relative effectiveness of benzathine penicillin G and doxycycline treatment regimens for late or unknown duration syphilis in 6 United States jurisdictions, 2016–2021
In this retrospective cohort analysis using surveillance data, appropriate serological response by 24 months was comparable among persons with late or unkn
251
Reposted by Paul Adamson MD MPH
Saira Butt, MD @sairabt.bsky.social · 26/02/2026
#CROI2025 #idsky Twice-Daily Dolutegravir With a 4-Month Rifapentine-Based Regimen for HIV-Associated Tuberculosis presented by Sean Wasserman: -DTG clearance markedly increased by RPT 1200mg co-administration -DTG bid dosing with RPT-based TB tx: therapeutic, safe, achieved Viral suppression
011
Paul Adamson MD MPH @padamsonmd.bsky.social · 26/02/2026
Unfortunate results of the #STOMP trial for #mpox. We really need therapeutic options for mpox, as infections are ongoing in many communities. And bravo to the study team - trial data on investigational treatment options are so important.
043
Reposted by Paul Adamson MD MPH
Luis Ostrosky, MD, FIDSA @drluiso.bsky.social · 26/02/2026
Great data on pre-transplant serologic testing for fungal infections in the US by my friends at the CDC and @jessicalittlemd.bsky.social #IDSky #MedSky academic.oup.com/mmy/advance-...
academic.oup.com
Pretransplant serologic testing for fungal infections in a large commercial health insurance database, United States
Abstract. Reactivation of latent fungal infections poses a substantial risk for solid organ transplantation (SOT) and hematopoietic cell transplantation (H
053
Reposted by Paul Adamson MD MPH
Gabriele Pollara @gpollara.bsky.social · 17/02/2026
This is SUCH a good point. Life now all about being peppered by 100s of parallel mini-conversations by various message platforms. In clinical space, what does this do? Can we do more things at once? Are we more distracted, and creating risk? Food for thought for all of us, not just #IDSky #MedSky
academic.oup.com
More than a message: Death by a 1,000 “Chats”
Abstract. Secure electronic messaging within the electronic health record (EHR), such as Epic Chat, has transformed communication in hospitals by enabling
2113
Reposted by Paul Adamson MD MPH
Darcy Wooten (she/her) @darcy-id-doc.bsky.social · 14/02/2026
Check out our article and guidance on Epic chat messages in CID. Anyone doing frontline clinical work understands the substantial downsides of constant, on-demand, text communication in the EHR. So great to write this with ID fellows. doi.org/10.1093/cid/...
doi.org
More than a message: Death by a 1,000 “Chats”
Abstract. Secure electronic messaging within the electronic health record (EHR), such as Epic Chat, has transformed communication in hospitals by enabling
12811
Reposted by Paul Adamson MD MPH
BK. Titanji @boghuma.bsky.social · 24/02/2026
Brilliant plenary on STI trends at #CROI2026. DoxyPEP implementation in Seattle shows indirect reductions of syphilis rates in cisgender women who are not the target group for the intervention. Shared sexual networks with men who are the target intervention group?
1396
Reposted by Paul Adamson MD MPH
T. Neil Ku, MD, FSHEA, FIDSA @kutneil.bsky.social · 24/02/2026
This is the consequence of a successful measles vaccination program and achieving the measles elimination status. Until recently, physicians mostly saw measles cases in international travelers and visitors. #measles #vaccination #pedsky #IDSky kffhealthnews.org/news/article...
kffhealthnews.org
Hospitals Fighting Measles Confront a Challenge: Few Doctors Have Seen It Before - KFF Health News
As the number of cases grows to about 1,000 in the Carolinas, health care workers who’ve never seen the vaccine-preventable disease can get caught by surprise.
032
Reposted by Paul Adamson MD MPH
drjeannem.bsky.social @drjeannem.bsky.social · 10/02/2026
As always @holdenthorp.bsky.social hits the nail on the head. Deprioritizing discovery science stifles innovation & means less US created intellectual property. How-and will-US biosciences recover? @idsainfo.bsky.social @csis.org
011
Reposted by Paul Adamson MD MPH
Anita Williams @catanita.bsky.social · 10/02/2026
The Journal of Infectious Diseases has just released a special collection of papers devoted to "Contemporary Research on #AMR", covering mechanisms of resistance and virulence, pharmacokinetics, drug development, and wastewater surveillance @jidjournal.bsky.social #IDEpi #MedSky #IDSky #AMS
academic.oup.com
Validate User
0102
Reposted by Paul Adamson MD MPH
Carolyn Barber, MD @cbarbermd.bsky.social · 10/02/2026
The Trump admin says cutting $600M in CDC health grants from four Democratic-led states “reflects agency priorities.” Those priorities now exclude HIV prevention, outbreak readiness, and care for marginalized communities—mid-measles surge. Tell us who this helps. Because it’s not the public. 1/2
nytimes.com
Trump Administration to Cut $600 Million in Health Funding From Four States
174
Reposted by Paul Adamson MD MPH
Seth Judson @sethjudson.bsky.social · 09/02/2026
Recent locally acquired clade Ib mpox cases in multiple countries signal a shift in transmission and spread. Here we highlight key questions and gaps in our preparedness #IDsky #Episky #mpox www.thelancet.com/journals/lan...
thelancet.com
Circulation of clade Ib mpox outside of Africa—are we prepared?
Mpox is a spectrum of disease caused by monkeypox virus, which is divided into clades I (with subclades Ia and Ib) and II (with subclades IIa and IIb).1 In 2022, simultaneous detection of non-travel-a...
011
Reposted by Paul Adamson MD MPH
Joseph Marcus @josephmarcusid.medsky.social · 05/02/2026
A question for #IDSky, are you offering Bexero for GC prevention for your patients on PrEP or living with HIV?
462
Reposted by Paul Adamson MD MPH
BK. Titanji @boghuma.bsky.social · 08/02/2026
#IDSky I always email residents rotating with me survival tips for their time of the ID consult service. I like to keep this short and high yield but I am constantly editing and improving the tip sheet. What would you add or remove. It cannot be longer that one page 😊.
169321
Reposted by Paul Adamson MD MPH
Nicola Low @nicolamlow.bsky.social · 05/02/2026
🧪 🦠 💉 #measles encephalitis - awful, preventable #VaccinesWork Great to see that the #PublicHealth response is also being reported here „Over 7,000 more doses of the MMR vaccine were given statewide in South Carolina this January compared to January 2025, a 72 percent increase“ archive.ph/KdrD7
archive.ph
0128
Reposted by Paul Adamson MD MPH
IAC - the International AIDS Conference @aidsconference.bsky.social · 05/02/2026
✨ Only 10 days left to apply for the #AIDS2026 Prevention Ambassador Fellowship! Selected fellows will: 🔹 Lead a digital #HIV prevention content project 🔹 Attend AIDS 2026 🔹 Expand their networks 👉 Apply by 15 February: zurl.co/qj5IL #RethinkRebuildRise
013
Reposted by Paul Adamson MD MPH
Global Antibiotic R&D Partnership (GARDP) @gardp.bsky.social · 05/02/2026
🔴🚨 FINAL SESSION IS LIVE at #ACC2026 Title: Access isn’t the end, it’s the beginning. Our closing panel takes on the purpose of antimicrobial innovation, and what must come after access. 🔴 WATCH IT LIVE NOW: portalapp.bsac.eventsair.com/VirtualAtten...
121
Reposted by Paul Adamson MD MPH
Darcy Wooten (she/her) @darcy-id-doc.bsky.social · 03/02/2026
Grateful to have the opportunity to share this little piece of my heart. Love is always the answer. academic.oup.com/cid/advance-...
8258
Reposted by Paul Adamson MD MPH
Clinical Infectious Diseases @cidjournal.bsky.social · 01/02/2026
Cefixime for the Treatment of Neisseria gonorrhoeae Infections in a Setting With Increased Antimicrobial Resistance: A Retrospective Study in Hanoi, Vietnam 📚 In Issue 🔗 bit.ly/4a6VNn5
126
Reposted by Paul Adamson MD MPH
Clinical Infectious Diseases @cidjournal.bsky.social · 02/02/2026
Worldwide impact of ACIP’s 2025 overhaul ✅ Just Accepted 🔗 bit.ly/3M6P3xM
003