This is particularly interesting because #penA60 likely traces back to the Asia-Pacific, yet many detections come from regions with more robust surveillance systems.
The implication is that ceftriaxone-resistant #gonorrhea may be substantially under-detected where the prevalence is highest.
Agree w/ authors that relying on #gonorrhea treatment failures has many limitations
We think about a lot in Vietnam, where we found 27% prevalence of ceftriaxone resistance, but no reported treatment failures
Many challenges around knowledge, treatments, & importantly f/u
bsky.app/profile/pada...
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...
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...
The phylogenomic analysis also shows that more recent ceftriaxone resistance is occurring in different genetic backgrounds, suggesting expanding spread.
While we know ceftriaxone resistance is a growing problem in the Asia-Pacific, it might be worse than we thought.
#gonorrhea #AMR #STIsky
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...
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...
Paul Adamson MD MPH
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...
Paul Adamson MD MPH
Paul Adamson MD MPH
Paul Adamson MD MPH
Paul Adamson MD MPH
Paul Adamson MD MPH
Jonathan Ryder, MD
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
