Indian Journal Watch: 12 November 2026

Indian Journal Watch, InfectionIndia.com

Indian Journal Watch

12 November 2026

Microbiology, infectious disease, AMR and infection-control papers from India and South Asia added to PubMed on 10 to 11 November 2026 and not covered in earlier issues.

Lead articles

Dengue · Biomarkers · PLoS Neglected Tropical Diseases

Serum ferritin kinetics and ferritin-derived ratios in hospitalised adults with dengue: A prospective serial biomarker study

PLoS Neglected Tropical Diseases · doi:10.1371/journal.pntd.0014867 · PubMed 43013619

What
A prospective study from SMIMER Medical College, Surat, characterising serial serum ferritin kinetics in hospitalised adults with dengue and evaluating two ferritin-derived indices, the Ferritin-to-Platelet Ratio (FPR) and the Ferritin/ALT Ratio (FLR).
Design
100 adults with WHO 2009-confirmed dengue were enrolled (June 2020 to November 2021); ferritin was measured by sandwich ELISA on hospital Days 1, 3 and 5. Severity was non-severe (n = 68) or severe (n = 32). Primary outcomes were shock/DSS (n = 22), severe thrombocytopenia <20,000/μL (n = 28) and severe hepatitis AST/ALT ≥ 1,000 IU/L (n = 18); indices were compared with their component tests by paired DeLong tests.
Key findings
Ferritin peaked on Day 3 (mean 955 ± 177 ng/ml). FPR Day 1 separated severity groups with AUC 0.704 (95% CI 0.579-0.830); median FPR was 39.0 vs 7.5 (p = 0.001). Against shock/DSS, FPR Day 1 had AUC 0.801, no higher than platelet count alone (AUC 0.784; DeLong p = 0.41). FLR Day 1 discriminated severe hepatitis with AUC 0.995, no higher than ALT alone (AUC 1.000). Ferritin offered no incremental benefit over platelet count alone (NRI = 0.143; IDI = 0.000).
Limitations
Single centre; platelet and transaminase values were the extremes of the admission and outcomes were recorded over the whole stay, so the authors describe both ratios as markers of severity rather than predictors.
Relevance to India
The authors call for prospective multi-centre studies with laboratory values and outcomes timed from admission.

Measles · Vaccination · PLOS ONE

Vaccination status and its association with complications among the patients admitted with measles in the dedicated measles hospitals, Dhaka, Bangladesh

PLOS ONE · doi:10.1371/journal.pone.0353336 · PubMed 43013529

What
A hospital-based study assessing measles vaccination status and its association with complications among children admitted during the 2026 measles resurgence in Bangladesh, where the authors report more than 60,000 suspected cases and over 600 deaths between March and May 2026.
Design
Cross-sectional study of 260 children aged 2-72 months with clinically confirmed measles admitted to four dedicated measles treatment hospitals in Dhaka between 15 and 25 April 2026, using caregiver interviews and hospital records, with multivariable logistic regression.
Key findings
74.6% were unvaccinated, 18.8% partially vaccinated and 6.5% fully vaccinated. Age below 9 months was associated with lower odds of vaccination (aOR 0.09, 95% CI 0.03-0.268) and household income at or above the median with higher odds (aOR 3.983). Complications developed in 31.1%, most often respiratory. Absence of exclusive breastfeeding (aOR 2.336) was associated with complications, and unvaccinated children had higher odds of complications than vaccinated children (aOR 5.729, 95% CI: 2.363-13.889).
Limitations
Cross-sectional design over an 11-day enrolment window in Dhaka hospitals; vaccination status relied partly on caregiver report.
Relevance to South Asia
The authors conclude that restoring immunisation coverage and equitable health services in Bangladesh is needed.

More from the journals

AMR & antimicrobials

TB & mycobacteria

Mycology

Viral, vector-borne & parasitic

IPC & vaccines

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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