Measles virus IgG avidity assay for use in classification of measles vaccine failure in measles elimination settings.
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ABSTRACT: In regions where endemic measles virus has been eliminated, diagnostic assays are needed to assist in correctly classifying measles cases irrespective of vaccination status. A measles IgG avidity assay was configured using a commercially available measles-specific IgG enzyme immunoassay by modifying the protocol to include three 5-min washes with diethylamine (60 mM; pH 10.25) following serum incubation; serum was serially diluted, and the results were expressed as the end titer avidity index. Receiver operating characteristic analysis was used for evaluation and validation and to establish low (≤30%) and high (≥70%) end titer avidity thresholds. Analysis of 319 serum specimens expected to contain either high- or low-avidity antibodies according to clinical and epidemiological data indicat
SUBMITTER: Mercader S
PROVIDER: S-EPMC3491540 | biostudies-literature | 2012 Nov
REPOSITORIES: biostudies-literature
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