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Revised Post Exposure Rabies Recommendations

02 July 2018

Public Health England (PHE) have revised the Rabies post-exposure treatment: management guidelines

The main changes in recommendations are:

  • Reduction in number of doses of vaccine required for post-exposure rabies immunisation to four doses on days 0, 3, 7 and 21 for immunocompetent individuals. For anyone who may be immunocompromised, the 5 dose post exposure regime remains treatment of choice.
  • Inclusion of a composite risk category for assessment for post exposure treatment, which combines risk associated with the country, animal/bat, and category of exposure.

TRAVAX rabies page has been updated accordingly. Within this page is a direct link into the revised Rabies post-exposure treatment: management guidelines which should be used for post exposure rabies advice.