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Publication - Guidance

Rabies control strategy

Published: 17 Oct 2017

For use in the event of an outbreak of rabies. Information about the disease and what would happen in response to an outbreak.

45 page PDF

704.1kB

45 page PDF

704.1kB

Contents
Rabies control strategy
Appendix 1: Actions if Bitten or Scratched

45 page PDF

704.1kB

Appendix 1: Actions if Bitten or Scratched

When exposure to rabies has occurred death can usually be prevented by prompt and appropriate post-exposure treatment. This will be required even when pre-exposure immunisation has been given. Post-exposure treatment includes treatment of the wound and specific treatment with a rabies vaccine and sometimes also human rabies-specific immunoglobulin (at site of wound and by intra-muscular injection). Where post exposure treatment is indicated, this should be started at once.

Immediate first Aid

  • Wash the wound immediately under a running tap for 5 minutes with soap or a detergent. Primary suture and excessive scrubbing should be avoided if possible
  • Seek medical assistance
  • Apply 40-70% alcohol, tincture or aqueous solutions of iodine or quaternary ammonium compounds proven to have a lethal effect on the rabies virus (e.g. cetrimide solution 0.1% BPC) and cover with simple dressing
  • Do not apply unfamiliar substances to wounds as that could impair the body’s immune response
  • Antibiotics and specific tetanus prophylaxis should be given if necessary
  • Post-exposure immunisation may be required.

Further information and guidance on post exposure treatment is available on the NHS ‘Choices’ [25] website and also contained within the Health Protection Network- ‘ Rabies: Guidance on Prophylaxis and Management in Humans in Scotland’. [26]


Contact

Email: Frances Hepburn Frances Hepburn

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