INTRODUCTION Approximately 60% of emerging pathogens originate from wild animals, with mammals being the main hosts. Among Didelphis, which are restricted to the Americas, the species Didelphis aurita and Didelphis albiventris are particularly widely distributed throughout Brazil, where they act as hosts for several pathogens transmissible to humans. The reduction of their natural habitat has resulted in the adaptation of these species to human environments. Animals hunting, due to food necessity or cultural habit, may increase pathogen exposure with a potential to zoonotic disease transmission. METHODOLOGY From November to December 2016, we administered semi-structured questionnaires in a rural community in northeastern Brazil to assess knowledge, practices and perceptions regarding human-didelphis interactions and possible exposure to zoonoses. RESULTS There were 213 respondents. Based on photographs of D. albiventris and D. aurita, 91.2% and 78% respondents, respectively, identified the animal by the popular name "sariguê", 61% (130/213) believed the animal could convey any disease, 4.7% stated they did not, and 34% did not know. Opossum meat consumption was reported by 20.2% (43/213), of which 58.1% admitted disease transmission possibility. Only 15.9% of respondents had a secondary or higher education level. The distribution of these frequencies is discussed according to the respondents educational level. CONCLUSIONS The results reveal the need to carry out health educational activities, including better community knowledge regarding the possible exposure to pathogens due to marsupial consumption. Copyright (c) 2019 Ianei de Oliveira Carneiro, Norlan de Jesus Santos, Namá Santos Silva, Pedro Cerqueira Lima, Roberto Meyer, Eduardo Martins Netto, Carlos Roberto Franke.INTRODUCTION Carbapenemase producing Enterobacteriaceae are emerging as important pathogens worldwide with serious effects on patients' outcome. The study aimed to investigate the emergence of carbapenemases associated with enterobacterial infection in Western region of Saudi Arabia. METHODOLOGY Clinical isolates from suspected patients with enterobacterial infection were investigated over a one-year period from four tertiary care hospitals of Makkah, Saudi Arabia. All isolates were identified using Vitek-2 system and then screened for potential carbapenemase production using disk diffusion test. Suspected isolates with reduced susceptibility to carbapenems were further investigated for blaNDM-1, blaKPC and blaOXA-48 resistant genes. RESULTS Out of 120 confirmed Enterobacteriaceae isolates, Klebsiella pneumoniae and Escherichia coli comprised the largest proportion (35% and 34.2%, respectively) of encountered infections. Twenty-six (21.7%) isolates showed resistance to carbapenems, the majority of which (21/26) were K. pneumoniae. Remarkably, 17 isolates carried triple resistant genes KPC/NDM-1/OXA-48 while the other 4 carried double resistant genes (KPC/OXA-48) or (NDM-1/OXA-48). The current study revealed that the mentioned triple resistance genes have the higher incidence with significant association risk among males (COR 4.5; CI 1.9-17.3; P = 0.018), non-Saudi nationalities (COR 4.9; CI 1.5-19.3; P = 0.003), ICU-obtained specimens (COR 3.6; CI 1.5-8.4; P = 0.002) and blood specimens (COR 2.8; CI 1.1-6.9; P = 0.02). CONCLUSION Multidrug-resistant Enterobacteriaceae isolates in particular K. pneumoniae co-harboring KPC, NDM-1 and OXA-48 genes are emerging in Western region, Saudi Arabia. This is the first record of triple carbapenemase genes co-producing K. pneumoniae associated with enterobacterial infection. Copyright (c) 2019 Mubashir Ahmad Khan, Amr M Mohamed, Aftab Faiz, Jawwad Ahmad.INTRODUCTION Romania has the highest incidence and mortality rate of cervical cancer in Europe. The objective was to estimate the prevalence of high-risk human papillomavirus (hrHPV) genotypes and to evaluate the role of certain socio-behavioral factors in acquiring viral infection, in a cohort of Romanian women with negative Pap. METHODOLOGY In a prevalence study 611 women (aged 17-58 years) with negative Pap, with no known history of atypical cytology and valid HPV test were included. Each participant completed a questionnaire containing data on socio-behavioral factors.  https://www.selleckchem.com/products/cbr-470-1.html  From 344 women aged between 30-58 years, 63 were randomly selected for a second examination (conventional cytology and HPV detection and genotyping) after twelve months. RESULTS Of the 611 women, 19.80% were HPV positive, 14.73% infected with hrHPV. Differences in the prevalence of hrHPV (17.60% versus 12.50%) as single (13.01% vs 9.01%) and multiple infections (9.71% vs 3.49%) were noted between women under the age of 30 and above. Among socio-behavioral factors, marital status and multiple sexual partners correlate with HPV and hrHPV infection. At follow-up, from 34 HPV negative cases, 10 changed to positive (5 hrHPV), while 2 developed abnormal cytology. Out of the 29 HPV positive cases, 12 cleared the HPV infection and 17 retested positive of which 4 worsened their cytology. CONCLUSIONS In Romania, HPV infection is common in women with negative cytology. HPV genotyping is of epidemiological importance because the distribution of hrHPV types can determine the impact of prophylactic vaccines and the necessity of HPV testing as screening method. Copyright (c) 2019 Adriana Plesa, Demetra Socolov, Irina Huica, Anca Botezatu, Iulia Virginia Iancu, Carmen Ungureanu, Sergiu Teleman, Adrian Albulescu, Alina Fudulu, Gabriela Anton.INTRODUCTION Anal cancer screening has not been adopted by Taiwanese care providers. The study aim was to explore the differences of anal cytology and HPV detection among men with and without HIV. METHODOLOGY In this case-control study, men with HIV who attended one of the outpatient clinics of Taoyuan General Hospital were enrolled as cases. Men who had experienced condomless sex and tested HIV negative were enrolled as controls. Anal swabs were collected for thin-preparation anal cytology and HPV genotyping. RESULTS A total of 288 men who had tested positive for HIV and 208 who had tested HIV negative were enrolled; 75% of subjects with HIV and 30.3% of those without HIV had tested positive for various types of HPV (P less then 0.001). Anal cell dysplasia, including atypical squamous cells with undetermined significance (ASCUS), low-grade squamous intraepithelial lesions (LSILs), high-grade squamous intraepithelial lesions (HSILs), or atypical squamous cells cannot exclude HSIL (ASC-H), were noted in 20.8% of men with HIV and 4.