Table 4. Use of prophylaxis before or after lyssavirus exposure in humans, domestic animals, and wildlife2,11,112.
Group | Pre-exposure prophylaxis | Post-exposure prophylaxis |
---|---|---|
Humans | Parenteral vaccine doses administered to any persons at risk of viral exposure, with serological surveillance of certain occupational groups (i.e. laboratory workers, veterinarians, etc.) for determination of a routine booster when immunity wanes, based upon virus neutralization antibody detection |
Thorough wound cleansing, infiltration of rabies immunoglobulin into wounds, and parenteral administration of several doses of rabies vaccine (for the previously vaccinated person, only rabies vaccine is administered) |
Domestic animals |
Ideally, all domestic animals (but especially dogs and cats) at risk of exposure should receive a single parenteral vaccine at around 3 months of age, a booster at about 1 year of age, and periodic annual or triennial boosters dependent upon label indications and local regulations |
Immediate, single, parenteral re-vaccination upon known exposure to invoke an anamnestic response |
Wildlife | Mesocarnivore reservoirs (e.g. coyotes, ferret badgers, foxes, jackals, mongoose, raccoons, raccoon dogs, etc.) may be targeted for oral vaccination by well-designed programs for which vaccine safety and efficacy have been determined (in addition, parenteral vaccination may occur for mammals maintained in zoological collections or by trap-vaccinate-release of free-ranging wild mammals) |
Primarily occurs naturally when a previously vaccinated animal develops an anamnestic response upon consumption of another dose of oral vaccine |