“…However, unfixed cells cannot be stored for a long time, therefore, some laboratories used glutaraldehyde for cell fixing 31-33. Besides fixation methods, cell lines, VZV strains, reference sera, and cutoff values are different between laboratories 3,20,24,30,31,33-35. Williams, et al3 used a wild type VZV Ellen strain, and recently the Oka vaccine strain has been used in some laboratories 3,30,33,35.…”