Approach to Assessing Rabies Exposure and Initiating Postexposure Prophylaxis (PEP) in the United States - Flowchart
Approach to Assessing Rabies Exposure and Initiating Postexposure Prophylaxis (PEP) in the United States - Flowchart Rabies Rabies
«Flowchart»

Possible rabies exposure

Possible rabies exposure

Possible rabies exposure

Skunk, raccoon, fox, woodchuck, carnivore

Skunk, raccoon, fox, woodchuck, carnivore

Skunk

Domestic cat, dog, ferret

Domestic cat, dog, ferret

Domestic cat

Livestock, small/large rodents, rabbits/hares, other mammals

Livestock, small/large rodents, rabbits/hares, other mammals

Livestock

Patient contacts animal control/health department and follows status of the animal

Patient contacts animal control/health department and follows status of the animal

Patient contacts animal control/health department and follows status of the animal

Regard as rabid unless proven otherwise

Regard as rabid unless proven otherwise

Regard as rabid unless proven otherwise

Begin PEP

Begin PEP

Begin PEP

End

End

End

No PEP indicated

No PEP indicated

No PEP indicated

Animal shows sign of rabies

Animal shows sign of rabies

Animal shows sign of rabies

Yes

Yes

Yes

No

No

No

Healthy and available for 10 days of observation

Healthy and available for 10 days of observation

Healthy and available for 10 days of observation

Yes

Yes

Yes

No

No

No

Consult health department or CDC regarding PEP

Consult health department or CDC regarding PEP

Consult health department or CDC regarding PEP

Rabid or suspected rabid

Rabid or suspected rabid

Rabid or suspected rabid

Yes

Yes

Yes

Unknown

Unknown

Unknown

ALL WOUND EXPOSURES
Copious irrigation of wound and treatment with virucidal agent, such as povidine-iodine.

These recommendations are in accordance with CDC recommendations for exposures in the United States.
Exposures outside the United States should be managed in consultation with the CDC.

ALL WOUND EXPOSURES
Copious irrigation of wound and treatment with virucidal agent, such as povidine-iodine.

These recommendations are in accordance with CDC recommendations for exposures in the United States.
Exposures outside the United States should be managed in consultation with the CDC.

ALL WOUND EXPOSURES
Copious irrigation of wound and treatment with virucidal agent, such as povidine-iodine.


These recommendations are in accordance with CDC recommendations for exposures in the United States.
Exposures outside the United States should be managed in consultation with the CDC.