Thomas Kesteman🦠🧫🔬🌏
@tkes.bsky.social
3K followers 1.8K following 930 posts
Clinical microbiology in LMIC & ID Epidemiology. Concerned about inequities and scientific integrity, yet dyed-in-the-wool optimist. All views my own, but I share because sharing is caring. (he/him/his)
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tkes.bsky.social
🦠💊During #WAAW, #OUCRU, partners, and local authorities met to improve antimicrobial resistance control and microbiology capacity 🧫🔬in underserved areas. 🌏
💡Solutions like MiniLab and Hub-and-Spoke were tested. It works!

👉Read more: t.co/towS7BF3uQ
#AMR #IDSky #MicroSky #GlobalHealth
Group picture of approx. 30 persons standing on the stairs of the National Hospital for Tropical Diseases in Hanoi, Vietnam. Picture taken during the UMAMiS project meeting. Text: "OUCRU, partners, with local government to improve antimicrobial resistance control & microbiology capabilities in underserved districts of Phu Tho, Vietnam. World AMR Awareness Week 2024" Picture of a blister. Text: "the challenge: lack of diagnostic tools. In underserved areas without microbiology labs, doctors oftern rely on symptoms to prescribe antibiotics. This leads to overuse & the rise of antibiotic resistance. World AMR Awareness Week 2024" Drawing of 1 big and 1 small hospital, connected by arrows.
Text: "The solutions: new microbiology labs.
- Mini-Lab empowers local health centres with on-site testing
- Hub and Spoke model connects rural clinics to advanced lab services
World AMR Awareness Week 2024"
Reposted by Thomas Kesteman🦠🧫🔬🌏
sherylnyt.bsky.social
BREAKING: Friday night massacre underway at CDC. Doznes of "disease detectives," high-level scientists, entire Washington staff and editors of the MMWR (Morbidity and Mortality Weekly Report) have all been RIFed and received the following notice:
tkes.bsky.social
En tout cas, ils ne partagent pas les mêmes valeurs, c'est sûr!
tkes.bsky.social
It is possible that their message is not to the world but to a single person 🍊🤡🇺🇸 "we live in a world where [...] rule of law [is] abused by those in control, free media silenced, critics imprisoned, and societies pushed towards authoritarian rule and militarisation."
#NobelPeacePrize
mcbridetd.bsky.social
The Nobel Peace Prize Committee surely is sending a message to the world with this award.
Excerpt from their press release:
www.nobelprize.org/prizes/peace...
tkes.bsky.social
là où les régulations et les moyens sont plus limités, typiquement Asie, Afrique, Amérique Latine...
tkes.bsky.social
une augmentation dans les lacs à cause de l'accumulation
- la situation s'améliore pour certains ML, mais pas pour d'autres

Ce qui semble clair, par contre, c'est que les pays avec des régulations fortes (souvent à hauts revenus) s'en sortent mieux, tandis que la situation tend à s'empirer
tkes.bsky.social
C'est une sacrée question. Si je comprends bien, il y a une grande hétérogénéité dans les tendances (à la hausse vs à la baisse) de la pollution aux ML:
- la production diminue à certains endroits, mais pas à d'autres
- il peut y avoir, dans une même zone, une diminution dans les rivières mais
tkes.bsky.social
les antibiotiques sont le moins régulés, càd les pays à moyen revenus (BRICS et autre middle-income countries), qui sont aussi des endroits où les eaux usées sont mal traitées et qui vont donc à la fois contenir des vilaines bactéries et des trucs dégueulasses (ML), ça fait un cocktail explosif!
tkes.bsky.social
... est de plus en plus largement admis. Les gènes de résistance aux uns et aux autres se baladent fréquemment sur les mêmes plasmides, et certains gènes/mutations peuvent servir aux deux, typiquement les pertes de porines. Comme la pollution aux ML augmente dans les régions du monde où ....
tkes.bsky.social
Salut. Je ne peux pas trop t'aider sur le cancer, mais par contre les résistances aux antibios (ABR), c'est mon dada. Je n'ai pas vu l'extrait en question, donc je ne peux pas me prononcer sur ce qu'elle a dit, mais par contre je peux confirmer que le lien entre pollution aux métaux lourds et ABR...
Reposted by Thomas Kesteman🦠🧫🔬🌏
Reposted by Thomas Kesteman🦠🧫🔬🌏
lancetmicrobe.bsky.social
New research article

Estimating the association of antimicrobial resistance genes with minimum inhibitory concentration in Escherichia coli: an observational study

www.thelancet.com/journals/lan...

#IDSky #ClinMicro #AMR #WGS #OpenAccess #OA
tkes.bsky.social
It would be counterproductive: the likelihood that a child will skip a dose will inevitably jump. Consider 9 jabs instead of 3, and that preventive medicine already struggles to keep parents in line with a 3-doses scheme. 😭
Reposted by Thomas Kesteman🦠🧫🔬🌏
dimitridrekonja.bsky.social
There’s a reason traveling to Scandinavia feels so great- friendliness. Lack of judgement and hate. I want to go back…
chadbourn.bsky.social
Some work still to do, shall we say.
Chart: Homophobic views have declined around the world with Iceland at the top and Nigeria at the bottom
tkes.bsky.social
Et on ne met des antibios QUE SI la cause des saignements est un ulcère à Helicobacter pylori. Pour tout ce qui est varices oesophagiennes et consorts, visiblement on peut s'en passer! 😅 (2/2)
tkes.bsky.social
Bah, si, bien sûr. On ne va pas laisser les gens mourir. Mais ils ne font pas d'infections bactériennes si on ne donne pas d'antibiotiques (ou pas plus que si on en met), donc en fait on ne va faire que ce qui est nécessaire: antiacides (IPP), endoscopie (ou chir✂️), transfusion si besoin,... (1/2)
tkes.bsky.social
Trumpism wants to pit universities against each other. Opposing it is at the fingertips 🖕
katestarbird.bsky.social
Henry Farrell on the Trump admin’s proposed “compact” for universities, arguing that the rollout signals weakness, and that academics need to band together to reject this authoritarian attack on university independence and academic freedom.

Gift link: www.nytimes.com/2025/10/08/o...
Reposted by Thomas Kesteman🦠🧫🔬🌏
katestarbird.bsky.social
Henry Farrell on the Trump admin’s proposed “compact” for universities, arguing that the rollout signals weakness, and that academics need to band together to reject this authoritarian attack on university independence and academic freedom.

Gift link: www.nytimes.com/2025/10/08/o...
Reposted by Thomas Kesteman🦠🧫🔬🌏
ndm.ox.ac.uk
The Department would like to announce that Professor Edwine Barasa has been appointed as the new Executive Director of KEMRI Wellcome Trust!

Find out more about the appointment here 👉 www.ndm.ox.ac.uk/news/profess...