Rabies post-exposure prophylaxis: management guidelines
- Public Health England
- Part of:
- Rabies: risk assessment, post-exposure treatment, management
- 1 January 2013
- Last updated:
- 7 June 2017, see all updates
Rabies is a viral encephalitis and can be fatal. Prompt treatment after exposure is the most effective way to prevent disease.
Ref: PHE publications gateway number: 2014684 PDF, 1.49MB, 32 pages
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Post-exposure prophylaxis (PEP) using rabies vaccine with or without human rabies immunoglobulin (HRIG) is highly effective in preventing disease if given correctly and promptly after exposure.
This guidance provides a practical guide to undertaking risk assessment of potential rabies exposures and the correct use of PEP.
Published: 1 January 2013
Updated: 7 June 2017
- Patients started on alternative regimens section revised.
- Revised guidelines - see page 2 for details of changes.
- Updated information about the new Rabies and Immunoglobulin Service and updated risk assessment to include HRIG for primate category III bites to the head and neck.
- The document has been updated to reword section ‘B9 Imported pets (dogs, cats or ferrets)’, on page 14.
- Changes to the guidance include a new category of ‘partially immune’ for those individuals who are not fully immune but have received vaccine in the past, advice on what to do if it is more than 10 years since the last rabies vaccine, and information on dealing with animals imported into the country under the EU PETS passport scheme.
- First published.