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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<End Node 4> 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?
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?
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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No PEP
Wound care
only
No PEP
Wound care
only


No PEP PEP and
Wound care
PEP and
Wound care

PEP Animal available for quarantine? Animal available for quarantine? Up to 72 hour search for animal Up to 72 hour search for animal Up to 72 No No Yes Yes Postmortem
test for rabies
Postmortem
test for rabies

No PEP
Wound care
only
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
PEP and
Wound care
PEP and
Wound care RV (–) RV (–) RV (+) RV (+) Yes Yes No No RV (–) RV (–) RV (+) RV (+)