Decision tree for potential rabies exposures

Decision tree for potential rabies exposures Rabies Rabies

«Flowchart»

Livestock/herbavore
primate, rodent, rabbit

Livestock/herbavore

Domestic animal subject to
10-day quarantine in jurisdiction
(usually dog, cat or ferret)

Domestic animal

Bat or other wild carnivore,
or high-risk domestic animal

Bat or other

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Risk assessment in consultation
with public health authority:
- Was exposure provoked?
- What is vaccine status of animal?
- What is epidemiology of area?
- Is animal owned, wild or stray?

Available for immediate
postmortem testing?

PEP decision made by
provider and patient PEP decision made by
provider and patient PEP decision made by
provider and patient

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Animal available for quarantine?

Up to 72 hour search for animal Up to 72 hour search for animal Up to 72

Yes

Postmortem
test for rabies

No PEP
Wound care
only

No PEP
Wound care
only Healthy after 10 day
quarantine Healthy after 10 day
quarantine Healthy Dies or becomes ill
during quarantine Dies or becomes ill
during quarantine
Dies

PEP and
Wound care

RV (-)

RV (+)

Yes

RV (-)

RV (+)

No PEP
Wound care
only

No PEP
Wound care
only

No PEP

PEP and
Wound care

PEP and
Wound care
PEP