Guidelines relating to pre- and post-exposure prophylaxis

19 December 2011: We are in the process of changing the supply of rabies immunoglobulin. The current version of the Post Exposure Form (v5) now asks you to specify the HRIG lot number.  Issuing Centres may have either BPL or Berirab products, which have very different potencies. Please check which product wil be issued before calculating the volume needed.

• Rabies post-exposure form and calendar version 5 (Excel Spreadsheet, 156 KB) (7 December 2011)
• Rabies country risk table (updated 21 February 2011)
• Assessment for treatment post exposure to terrestrial animals (PDF, 54 KB) 
• Assessment for treatment post exposure to bats (PDF, 63 KB)
• Rabies Ig BPL Letter and Leaflet 191211 (PDF, 390 KB) (19 December 2011)
• Advisory letter for administration rabies vaccine only (PDF, 124 KB) (9 December 2011)
• Advisory letter for administration rabies Ig and vaccine (PDF, 127 KB) (9 December 2011)
• HPA Colindale Clinical Rabies Service (PDF, 92 KB) April 2010, amended 15 Sept 2010
• Rabies vaccination and interpretation of rabies serology - Advice for bat workers and their GPs (PDF, 25 KB)
  
    
• Immunisation against Infectious Disease (the Green book) – rabies (PDF, 81 KB)
• Rabies: Guidance on Prophylaxis and Management in Humans in Scotland (PDF: external link)
• Revised WHO position paper on rabies vaccines (August 2010) (PDF: external link)
• The Public Health Management of a Suspected Case of Human Rabies (PDF, 523 KB) updated July 2009
• Memorandum on Rabies - Prevention and Control (PDF: external link)

Useful articles on management of human rabies

Editorial: Recovery from Rabies. Jackson AC. New England J Med 2005;352:2549-50  (external link)

Survival after treatment of rabies with induction of coma  Willoughby RE et al. New England J Med. 2005;352:2508-14 (external link)

Medical College of Wisconsin rabies treatment protocols  (external link)

Wisconsin rabies treatment protocol (PDF, 87 KB)

Management of rabies in humans Jackson AC et al. Clinical Infectious Diseases 2003;36:60-3 (external link)

Human rabies: a disease of complex neuropathogenetic mechanisms and diagnostic challenges Hemachuda T et al. The Lancet Neurology 2002;1:101-9 (external link, requires free login)

Paralytic rabies after a two-week holiday in India Solomon T et al. British Med J. 2005;331:501-3 (external link)

• Rabies risks in terrestrial animals, by country
  A list of countries and islands with the risk of rabies in terrestrial animals.
  Added/updated: 17 May 2011