Indian Journal Watch: 29 October 2026

Indian Journal Watch, InfectionIndia.com

Indian Journal Watch

29 October 2026

Peer-reviewed microbiology, infectious disease, AMR and infection-control papers from India and South Asia, published or added to PubMed from 27 to 28 October 2026.

Lead articles

Vector-borne & zoonoses 路 BMC Infectious Diseases

Epidemiological trends of Crimean-Congo hemorrhagic fever in South Asia: a systematic review

BMC Infectious Diseases 路 doi:10.1186/s12879-026-14036-5 路 PubMed 42947009

What
A systematic review of the epidemiology, clinical presentation and prevention of Crimean-Congo haemorrhagic fever (CCHF) in South Asia, from the National Centre for Disease Control (NCDC), New Delhi.
Design
Conducted according to PRISMA 2020 and SWiM guidelines, with the protocol registered in PROSPERO (CRD42023463930). PubMed, Scopus and Google Scholar were searched (1994-2026), together with IDSP weekly outbreak reports from the NCDC website for cases from India. Eligible studies were observational studies, outbreak investigations and hospital-based reports of human CCHF cases from South Asian countries.
Key findings
A total of 59 studies from Pakistan, India and Afghanistan reported 4116 suspected cases, with 1888 laboratory-confirmed cases and a 22% case fatality rate among confirmed cases (India: 49%, Pakistan: 9%, Afghanistan: 28%). The mean age of affected individuals was 34.4 years, and the highest-risk occupations included butchers and livestock handlers. Frequent clinical manifestations included fever, haemorrhagic features (notably epistaxis), myalgia, headache, abdominal pain and gastrointestinal symptoms; thrombocytopenia, leukopenia and elevated AST and ALT were frequent laboratory abnormalities.
Limitations
The abstract notes that there are few longitudinal studies of CCHF in South Asia. The review pools heterogeneous observational and outbreak reports, and the case fatality rates by country are drawn from differing numbers and types of studies.
Relevance to India
The authors highlight healthcare workers and livestock handlers as high-risk groups and point to surveillance needs in specific areas, including the Kutch and Amreli districts of Gujarat in India, Herat Province (Afghanistan), and Baluchistan and Khyber Pakhtunkhwa (Pakistan).

IPC & AMR 路 Cornea

Extensively Drug-Resistant Pseudomonas aeruginosa Keratitis After Photorefractive Keratectomy Because of Contaminated Eye Drops: Experience With Colistin-Based Therapy

Cornea 路 doi:10.1097/ICO.0000000000004352 路 PubMed 42950065

What
A case series of infectious keratitis caused by extensively drug-resistant (XDR) Pseudomonas aeruginosa after photorefractive keratectomy (PRK), with identification of the source, from the Shantilal Shanghvi Cornea Institute and the Jhaveri Microbiology Center, LV Prasad Eye Institute, Hyderabad.
Design
Retrospective review of 7 eyes from 4 patients who presented with infectious keratitis after bilateral PRK performed at different centres and time points, evaluated at a tertiary eye care centre in India between March 2024 and August 2025. Demographic, clinical, microbiological, treatment and outcome data were analysed, and eye drops were evaluated as a possible source.
Key findings
Patients presented on average 2.5 days (range 1-4) after surgery. Corneal infiltrates were central and full-thickness, with severe stromal lysis in 5 of the 7 eyes, and hypopyon was present in 6 eyes. All cases grew P. aeruginosa; the isolate was resistant to all antibiotic classes, with intermediate susceptibility only to colistin. Six of 7 eyes recovered with medical therapy (topical colistin 0.19%) alone, and 1 eye underwent therapeutic penetrating keratoplasty. Identical organisms with similar resistance patterns were found in the eye drops used and left over by the patients, and in unopened similar drops.
Limitations
A small retrospective series of 4 patients from a single referral centre; the abstract does not report molecular typing of the isolates or the identity of the product.
Relevance to India
The series links XDR P. aeruginosa keratitis to contaminated eye drops, including unopened drops, and the authors emphasise early recognition, source identification and microbiology-guided therapy.

More from the journals

Antimicrobial resistance & stewardship

Tuberculosis

Vector-borne & parasitic disease

Virology & One Health

Mycology

Diagnostics

Items are summaries of published abstracts and are not clinical advice. Readers should consult the original article. Figures are quoted as reported in each abstract.

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