Eurosurveillance remains in the updated list of the Directory of Open Access Journals (DOAJ). It was first added to the DOAJ on 9 September 2004. Eurosurveillance is also listed in the Securing a Hybrid Environment for Research Preservation and Access / Rights MEtadata for Open archiving (SHERPA/RoMEO) [2], a database which uses a colour‐coding scheme to classify publishers according to their self‐archiving policy and to show the copyright and open access self-archiving policies of academic journals. Eurosurveillance is listed there as a ‘green’ journal, which means that authors can archive pre-print (i.e. pre-refereeing), post-print (i.e. final draft post-refereeing) and archive the publisher's version/PDF.

ESCAIDE participants are invited to the fifth Eurosurveillance scientific seminar on 30 November 2016

Follow Eurosurveillance on Twitter: @Eurosurveillanc

Read our articles on Zika virus infection

Read our articles on mcr-1-mediated colistin resistance

Note of concern published for 'Epidemiological investigation of MERS-CoV spread in a single hospital in South Korea, May to June 2015',

In this issue

Home Eurosurveillance Edition  2010: Volume 15/ Issue 48 Article 6
Back to Table of Contents
Previous Download (pdf)

Eurosurveillance, Volume 15, Issue 48, 02 December 2010
EMCDDA publishes guidelines on testing for HIV, viral hepatitis and other infections in injecting drug users
  1. European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Lisbon, Portugal
  2. Norwegian Institute of Public Health, Oslo, Norway

Citation style for this article: Wiessing L, Blystad H. EMCDDA publishes guidelines on testing for HIV, viral hepatitis and other infections in injecting drug users. Euro Surveill. 2010;15(48):pii=19735. Available online:
Date of submission: 30 November 2010

On 1 December 2010, World AIDS Day, the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) published guidelines on testing for HIV, viral hepatitis and other infectious diseases in injecting drug users (IDU) [1]. The new guidelines recommend a strategy to increase the uptake of testing for HIV and other infections among IDU in Europe and beyond. This would enable earlier treatment of infected individuals which lowers the risk of further spread.

Provided testing is carried out with informed consent, with pre- and post-testing counselling and the confidentiality of test results can be guaranteed, the guidelines recommend that IDU should be offered the following tests regularly (depending on infection risks this can be up to once or even twice per year):

  • serology tests for HIV, hepatitis B, hepatitis C, hepatitis D (if there is evidence of chronic or recent hepatitis B), hepatitis A and syphilis;
  • swab for culture from abscesses and skin lesions;
  • biochemical tests (to determine levels of alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT) and bilirubin);
  • other general blood tests (to determine erythrocyte sedimentation rate (ESR), levels of C-reactive protein (CRP) and haemoglobin, and white blood cell count);
  • tests for tuberculosis.

The uptake of testing for HIV and other infectious diseases among IDU is still often low in Europe (EMCDDA unpublished data). IDU remain a relatively `hidden` population, as they are often not regularly in contact with health services, and their infections may remain unnoticed for many years. Infectious diseases are among the most serious health consequences of injecting drug use and can lead to substantial healthcare costs. IDU are vulnerable to a range of infectious diseases through a variety of risky behaviours, such as needle sharing and sex work, and because of circumstances such as poor hygiene, homelessness and poverty. 

The guidelines are accompanied by a recommended package of prevention (including vaccination), primary care and referral routines in relation to IDU and infectious diseases. They were developed in collaboration with a range of experts and have been distributed to professionals throughout the European Union and worldwide.


  1. European Monitoring Centre for Drugs and Drug Addiction (EMCDDA). Guidelines for testing HIV, viral hepatitis and other infections in injecting drug users. Lisbon: EMCDDA; 2010. Available from:

Back to Table of Contents
Previous Download (pdf)

The publisher’s policy on data collection and use of cookies.

Disclaimer: The opinions expressed by authors contributing to Eurosurveillance do not necessarily reflect the opinions of the European Centre for Disease Prevention and Control (ECDC) or the editorial team or the institutions with which the authors are affiliated. Neither ECDC nor any person acting on behalf of ECDC is responsible for the use that might be made of the information in this journal. The information provided on the Eurosurveillance site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Our website does not host any form of commercial advertisement. Except where otherwise stated, all manuscripts published after 1 January 2016 will be published under the Creative Commons Attribution (CC BY) licence. You are free to share and adapt the material, but you must give appropriate credit, provide a link to the licence, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

Eurosurveillance [ISSN 1560-7917] - ©2007-2016. All rights reserved.

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.