Management of Patients Potentially Exposed to Rabies No postexposure Did an exposure to rabies potentially occur? Did a mammal (animal with fur) bite the patient? Did the or central patient’s open wound, broken skin or mucous membrane contact saliva nervous system tissue from a mammal? Did the patient have direct contact with a bat such that a bite or scratch cannot be ruled out? No prophylaxis (PEP) Did the patient waken to find a bat in the room or see a bat in a room with a previously unattended young child or mentally impaired person? YES PEP if positive Bat? YES to YES test? Contact public health authorities NO NO skunk, fox, coyote, Start PEP if positive bobcat, woodchuck) High Wild animal? risk Start PEP promptly YES YES to YES ( ex. YES Low risk wild species? NO ( ex. squirrel, chipmunk, mouse/rat, rabbit/hare)) NO No PEP YES public health Other or authorities unkown? YES and 10 day quarantine, Dog, cat or available for stays healthy? YES YES ferret? quarantine? No PEP YES Start PEP if positive NO Unhealthy? YES NO Start PEP promptly Unavailable? NO
Management of Patients Potentially Exposed to Rabies Did an exposure to rabies potentially occur? Did a mammal (animal with fur) bite the patient? Did the patient’s open wound, broken skin or mucous membrane contact saliva or central No postexposure nervous system tissue from a mammal? Did the patient have direct contact with a bat such that a bite or scratch cannot be ruled out? Did the patient waken to find a bat in the room or see a bat in a room with a previously unattended young child or mentally impaired person? No prophylaxis (PEP) YES Bat? YES to test? YES PEP if positive Contact public health authorities NO Wild animal? YES High risk ( ex. skunk, fox, coyote, bobcat, woodchuck) YES to YES NO Start PEP if positive Start PEP promptly Low risk wild species? NO ( ex. squirrel, chipmunk, mouse/rat, rabbit/hare)) NO YES No PEP Other or unkown? YES public health authorities Dog, cat or ferret? YES and available for quarantine? YES 10 day quarantine, stays healthy? YES No PEP NO Unhealthy? NO NO YES Unavailable? YES Start PEP if positive Start PEP promptly
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