Table 1. WHO recommendations for suspected rabies post-exposure treatment [2].
Category | Type Of Contact With A Wild Or Domestic Animal Presumed To Be Rabid Or With Confirmed Rabies, Or An Animal Which Cannot Be Placed Under Observation | Recommended Treatment |
I | Touching or feeding of animals; or licks on intact skin | None, if reliable case history is available |
II | Nibbling of uncovered skin; or minor scratches or abrasions without bleeding | Administer vaccine immediately Stop treatment if animal remains healthy throughout an observation period of 10 days* or if animal is proven to be negative for rabies by a reliable laboratory using appropriate diagnostic techniques |
III | Single or multiple transdermal bites; or Scratches and licks on broken skin Contamination of mucous membrane with saliva (i.e., licks) Exposures to bats | Administer rabies immunoglobulin and vaccine immediately. Stop treatment if animal remains healthy throughout an observation period of 10 days or if animal is found to be negative for rabies by a reliable laboratory using appropriate diagnostic techniques |
*: In Philippines, the recommended duration of the observation period is 14 days.