Rabies pre and post-exposure prophylaxis pathways

If a Rabies exposure requires a risk assessment and local ID Physician is not available, contact local health protection team, not Lanarkshire ID. During office hours 01292 885858 option 1 or OOHs call switchboard and ask for on-call Public health consultant

Background

Figure 1: Post-exposure prophylaxis rabies pathway

Figure 2: Pathway for individuals already commenced on post-exposure prophylaxis at the time of first assessment in NHSAA

Figure 3: Pre-exposure prophylaxis rabies pathway

Assessment pathway

Pre-exposure prophylaxis

Summary: arrangements for vaccination and human rabies immunoglobulin (HRIG)

Summary: roles and responsibilities

Rabies vaccine and HRIG stock; Prescriptions and record keeping

Appendix 1: Initial clinician assessment

Appendix 2: Examples of pathways in use

Appendix 3: Patient information leaflet