Rabies Postexposure Prophylaxis Assessment Algorithm.2009 1 |
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RABIES POSTEXPOSURE PROPHYLAXIS (PEP): ASSESSMENT ALGORITHM
Was the patient bitten or was there saliva contact from the animal to an open wound or mucous membrane of the patient?
Rabies PEP NOT
advised.
Exception for bats*
Skunk, fox, bat or
other wild carnivore
Test for rabies.
Rabies PEP is not
indicated pending
test results.
Consult with the
OSDH Acute
Disease Service
Epidemiologist-on-
Call about rabies risk
at (405) 271-4060.
Rabies PEP can still
be provided even if 72
hours has passed from
the time of the bite.
Farm animal (cow,
sheep, pig, horse, goat)
Exotic animal (tiger,
bear, or monkey)
Is animal’s location
known?
If possible, look for
the animal for 72
hours before starting
rabies PEP.
Dog, cat, o r
domestic ferret
Rabies PEP NOT advised.
Contact local animal control or county
health department. PEP should not be
initiated unless animal develops rabies
during 10 day observation period.
Rabies PEP is
NOT indicated.
Small rodent
(squirrel, hamster,
guinea pig, gerbil,
chipmunk, rat,
mouse)
Lagomorph (rabbit,
hare)
Rabies PEP NOT
advised.
NO
YES
If YES, what kind of animal?
YES
NO
YES
* Bats pose particular risks and rabies transmission has occurred in the absence of a recognized bite. Therefore, every effort should be made to capture and test the bat involved in the
exposure incident. If the patient can provide adequate history that no direct exposure occurred, then no treatment is necessary, If the patient is an unobserved child, or a person who was
asleep, intoxicated, or mentally challenged, then PEP may be indicated. Consult w/ the OSDH Acute Disease Service Epidemiologist-on-Call by calling (405) 271-4060 (available 24/7/365).
Rabies PEP is
NOT advised.
Contact county
health department.
PEP should not be
initiated unless
animal develops
rabies during 30
day observation
Rabies PEP recommended
See the other side of this
document or call the OSDH
Acute Disease Service
Epidemiologist-on-Call at
(405) 271-4060 (available
24/7/365)
NO
Is the test
positive?
YES
Is the animal’s
location
known?
NO
Does animal
show sign of
rabies?
OSDH 06/2013
Object Description
| Okla State Agency |
Health, Oklahoma State Department of |
| Okla Agency Code |
'340' |
| Title | Rabies postexposure prophylaxis (PEP) : assessment algorithm. |
| Authors | Oklahoma. Acute Disease Service. |
| Publisher | Oklahoma State Department of Health |
| Publication Date | 2013-06 |
| Publication Type |
Fact Sheet |
| Subject |
Rabies--Diagnosis. Rabies--Vaccination. |
| Purpose | flowchart; Was the patient bitten or was there saliva contact from the animal to an open wound or mucous membrane of the patient?; Rabies biologics for postexposure prophylaxis, United States, 2012; Rabies postexposure prophylaxis schedule; |
| OkDocs Class# | H845.1 R116p 2013 |
| Digital Format | PDF, Adobe Reader required |
| ODL electronic copy | Downloaded from agency website: http://www.ok.gov/health2/documents/Rabies%20Postexposure%20Prophylaxis%20Assessment%20Algorithm.2009.pdf |
| Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
| Language | English |
| Date created | 2014-08-13 |
| Date modified | 2014-08-13 |
| OCLC number | 890231993 |
Description
| Title | Rabies Postexposure Prophylaxis Assessment Algorithm.2009 1 |
| Full text | RABIES POSTEXPOSURE PROPHYLAXIS (PEP): ASSESSMENT ALGORITHM Was the patient bitten or was there saliva contact from the animal to an open wound or mucous membrane of the patient? Rabies PEP NOT advised. Exception for bats* Skunk, fox, bat or other wild carnivore Test for rabies. Rabies PEP is not indicated pending test results. Consult with the OSDH Acute Disease Service Epidemiologist-on- Call about rabies risk at (405) 271-4060. Rabies PEP can still be provided even if 72 hours has passed from the time of the bite. Farm animal (cow, sheep, pig, horse, goat) Exotic animal (tiger, bear, or monkey) Is animal’s location known? If possible, look for the animal for 72 hours before starting rabies PEP. Dog, cat, o r domestic ferret Rabies PEP NOT advised. Contact local animal control or county health department. PEP should not be initiated unless animal develops rabies during 10 day observation period. Rabies PEP is NOT indicated. Small rodent (squirrel, hamster, guinea pig, gerbil, chipmunk, rat, mouse) Lagomorph (rabbit, hare) Rabies PEP NOT advised. NO YES If YES, what kind of animal? YES NO YES * Bats pose particular risks and rabies transmission has occurred in the absence of a recognized bite. Therefore, every effort should be made to capture and test the bat involved in the exposure incident. If the patient can provide adequate history that no direct exposure occurred, then no treatment is necessary, If the patient is an unobserved child, or a person who was asleep, intoxicated, or mentally challenged, then PEP may be indicated. Consult w/ the OSDH Acute Disease Service Epidemiologist-on-Call by calling (405) 271-4060 (available 24/7/365). Rabies PEP is NOT advised. Contact county health department. PEP should not be initiated unless animal develops rabies during 30 day observation Rabies PEP recommended See the other side of this document or call the OSDH Acute Disease Service Epidemiologist-on-Call at (405) 271-4060 (available 24/7/365) NO Is the test positive? YES Is the animal’s location known? NO Does animal show sign of rabies? OSDH 06/2013 |
| Date created | 2014-08-13 |
| Date modified | 2014-08-13 |
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