Paul Adamson MD MPH
padamsonmd.bsky.social
Paul Adamson MD MPH
@padamsonmd.bsky.social
ID doc and researcher. Asst Professor at UCLA. Interests in HIV, sexually transmitted infections, global health, & AMR. πŸ‡²πŸ‡½|πŸ‡ΊπŸ‡Έ He/him. Views are mine.
Pinned
Drug-resistant #gonorrhea is an urgent issue, threatening our empiric treatment options. Resistance to ceftriaxone is rapidly increasing in the Asia-Pacific region.

Happy to share our study from Vietnam, now out in @jidjournal.bsky.social

academic.oup.com/jid/article/...

#IDsky #STIsky #AMR
Reposted by Paul Adamson MD MPH
The corrupted CDC website refers to a Danish study (Andersson et al) and "a statistically significant 67% increased risk of Asperger's syndrome per 1 mg increase in aluminum exposure among children born between 2007 and 2018 (Supplement Figure 4)." It's worth putting this into context. Short 🧡
November 20, 2025 at 5:20 PM
Reposted by Paul Adamson MD MPH
πŸ”¦ Funding theme spotlight: Seeking diagnostics for typhoid fever for low-resource settings.

There are 11–21M cases of typhoid fever globally each year, mostly among children and in LMICs. #IDSky πŸ§ͺ

πŸ”— Learn about our targeted theme + updated eligibility criteria: bit.ly/4dTKvDj
November 20, 2025 at 4:47 PM
The trep test performed well; the non-trep test performed well for higher #RPR titer infections (β‰₯1:8)

A dual #POC test like this could improve same-day diagnosis & treatment of active syphilis infections in real-world settings. But not a replacement for RPR (eg- Tx response)

#diagnostics #STISky
November 20, 2025 at 5:38 PM
Excited to share our new paper, led by UCLA med student Ursula Biba!

Point-of-care #syphilis testing is important, but can be challenging in high-prevalence populations. We field-tested a dual treponemal/non-trep #POCT in a #HIV #PrEP program in Hanoi πŸ‡»πŸ‡³

#STIsky

πŸ”— sti.bmj.com/content/earl...
Field evaluation of a dual treponemal/non-treponemal point-of-care test for syphilis within an HIV pre-exposure prophylaxis programme in Hanoi, Vietnam
Objectives Syphilis infections are high among men who have sex with men (MSM) on HIV pre-exposure prophylaxis (PrEP). Point-of-care (POC) testing may improve diagnosis and treatment. We performed a fi...
sti.bmj.com
November 20, 2025 at 5:38 PM
Dr. Marrazzo is not only a role-model physician-scientist and tireless health advocate, but also a brave leader in these trying times.

#IDSky
Dr. Jeanne Marrazzo, former Director of NIAID, is Fired by Health and Human Services Secretary Kennedy in Retaliation for Filing Whistleblower Complaint with the Office of Special Counsel

bit.ly/4gRA3yx
October 2, 2025 at 4:18 AM
Reposted by Paul Adamson MD MPH
The proportion of Treponema pallidum PCR-positive primary syphilis infections which are seronegative for syphilis: a systematic review and meta-analysis

βœ… Just Accepted
#IDSky
The proportion of Treponema pallidum PCR-positive primary syphilis infections which are seronegative for syphilis: a systematic review and meta-analysis
Earlier syphilis detection is needed to reduce infectiousness, transmission and to improve control. Polymerase chain reaction (PCR) for...
doi.org
August 15, 2025 at 9:11 PM
Super interesting, I had to miss this session, so thank you for sharing!
August 5, 2025 at 8:54 PM
Reposted by Paul Adamson MD MPH
Alrighty, post vacay and ready to talk about @stihiv2025.org
Some amazing research and presentations:
1- Intense discussion about the need for screening for G/C in asymptomatic MSM. The evidence wasn't fully compelling but what it speaks to is the need for shared decision making in our field
August 5, 2025 at 6:54 PM
Great talk by @ericpfchow.bsky.social about a ton of amazing work being done on #HPV #vaccination by he and many colleagues at MSHC in Australia.

Happy to have him at @dgsomucla.bsky.social to inspire the next generation of #STI researchers!
August 4, 2025 at 8:14 PM
At least 500 federal grants to #UCLA have been suspended so far.

This is devastating to the scientific community here, but also threatens the science that fuels innovation, cures disease, and powers our economy.

When #science is attacked like this, we all lose.

chancellor.ucla.edu/messages/the...
August 1, 2025 at 10:52 PM
Reposted by Paul Adamson MD MPH
Yet another blow to science and academic freedom. Cutting research funding - especially at institutions like UCLA - is a short sighted move that undermines innovation, public health, and progress. Feeling for all my colleagues in academia there πŸ’”
This is terrible news for all of us at #UCLA.

The attacks on #science continue.
BREAKING: The Trump administration has canceled $200 million in research grants to UCLA, citing allegations over antisemitism. The move came after Atty. Gen. Pam Bondi said UCLA would pay a "heavy price" over its handling of last year's pro-Palestinian encampment www.latimes.com/california/s...
August 1, 2025 at 10:30 PM
This is terrible news for all of us at #UCLA.

The attacks on #science continue.
BREAKING: The Trump administration has canceled $200 million in research grants to UCLA, citing allegations over antisemitism. The move came after Atty. Gen. Pam Bondi said UCLA would pay a "heavy price" over its handling of last year's pro-Palestinian encampment www.latimes.com/california/s...
Trump freezes $200 million in UCLA science, medical research funding, citing antisemitism
The Trump administration has frozen roughly $200 million in National Science Foundation, National Institutes of Health and other federal agency-funded research UCLA, citing allegations that UCLA discr...
www.latimes.com
August 1, 2025 at 4:33 AM
Amazing - congratulations!!!
August 1, 2025 at 3:06 AM
Reposted by Paul Adamson MD MPH
Got to present the LIMIT Trial @stihiv2025.org looking at adding lidocaine to prefilled Bicillin shots to see if it could affect pain at 10 mins and 24hrs after injection vs control w/saline. 4 pt decline in pain at 10 mins, no difference at 24 hrs. This is prelim analysis but is promising #STISky
July 28, 2025 at 7:29 PM
Reposted by Paul Adamson MD MPH
Got to present @stihiv2025.org on risk based messaging in sexual health settings, focusing on person centered language, removal of risk based questions, and overall trying to not make your patients feel awful for their sex lives
July 30, 2025 at 7:30 PM
πŸ˜‚
July 31, 2025 at 1:47 AM
Reposted by Paul Adamson MD MPH
#stihiv2025 πŸ§ͺ
Closing plenary @drjeannem.bsky.social

Great promise of long-acting HIV PrEP, if available, accessible, in a functioning health system

All it takes is a disaster…

Like withdrawal of PEPFAR - a humanitarian crisis

πŸ‘‡ @avac.org counter of preventable deaths
July 30, 2025 at 9:19 PM
Reposted by Paul Adamson MD MPH
Always an inspiration Dr. Marrazzo - provides loads of hope, keep passionately advocating! We need honest conversations, work with our community partners and don’t lose ground - fantastic #STIHIV2025
July 30, 2025 at 9:30 PM
Reposted by Paul Adamson MD MPH
β€œSilence equals death. We cannot go back there. We must resist erasure and rebuild trust with communities we’ve abandoned.” β€” Jeanne Marrazzo at the #STIHIV2025 closing, calling for renewed #STI & #HIV activism, diversified funding & unapologetic advocacy.

@stihiv2025.org
July 30, 2025 at 9:38 PM
Thank you @stihiv2025.org for a fantastic conference!

Great to see so many colleagues. There were some amazing talks, it was so fun to learn from the best! Leaving feeling very inspired, even in these dark times.

And #Montreal was a great host city!

#STIHIV2025

Pic of the team from Vietnam πŸ‘‹πŸ½
July 31, 2025 at 1:37 AM
Really interesting talk on penA among commensal Neisseria by team at Maastricht.

They looked at species distribution and penA mutations before/after treatment for #gonorrhea. They did not find a trend in ceftriaxone resistance mutations after treatment.

#STIHIV2025 @stihiv2025.org #AMR
July 31, 2025 at 1:26 AM
Reposted by Paul Adamson MD MPH
#stihiv2025 πŸ§ͺ day 2
Publish and thrive

Enthusiasm for writing to publish you science is vital
Great to be here with editors of
πŸ“£ Sexually Transmitted Infections
πŸ“£ Sexually Transmitted Diseases
πŸ“£ Journal of the IAS
πŸ“£ Sexual Health

Me
@joetucker.bsky.social
Jason Ong
Kees Rietmeijer
Kenneth Mayer
July 29, 2025 at 6:48 PM
Prof Bobbie Van Der Pol discussing point-of-care tests

We have made high demands, but don't really know what we want from #POCT

She also discussed regulatory hurdles and challenges that limit availability.

Takeways: better is better and we need #regulatoryreform

#STIHIV2025 @stihiv2025.org
July 29, 2025 at 3:00 PM
Reposted by Paul Adamson MD MPH
We are over detecting and over treating infections using NAATS - viability assays are the way forward #STIHIV2025
July 29, 2025 at 11:47 AM