Detection of dengue cases by serological testing in a dengue vaccine efficacy trial: Utility for efficacy evaluation and impact of future vaccine introduction
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Virologically-confirmed dengue cases serology profile in vaccine trial is described.

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We evaluated applicability of the WHO case definition for dengue in vaccine trials.

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False positives are common with dengue diagnosis based on IgM/IgG after vaccination.

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Lack of specificity and bias after vaccination limits IgM/IgG use for surveillance.

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Dengue diagnoses based on IgM/IgG need strengthening following vaccine introduction.

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