Protocol for a well-performed rabies post-exposure prophylaxis delivery: to read along with the decision trees 1- Wound risk assessment and 2 - PEP risk assessment

Zusammenfassung

Protocol for a well-performed rabies post-exposure prophylaxis delivery To read along with the decision trees 1-Wound Risk Assessment and 2 - PEP Risk Assessment Protocol for a well-performed rabies post-exposure prophylaxis delivery 1.Wound treatment Thorough wound washing is a life-saving measure to mechanically reduce the viral inoculum at the wound site and is crucial in all exposures but especially when the patient’s trip to the healthcare facility is long or no rabies biologicals

Kerninformationen

loose and minimal. 2.Risk evaluation and assessment of the need for rabies biologicals 2.1. Check the severity of the wound. 2.1.1. Assess t he number of wounds and their depth, and determine the WHO wound category: •Category I: The skin is still intact (test: the patient feels no burning sensat...

unt as PrEP. If the patient cannot remember the number of doses received or vaccination dates, or cannot show proof of prior vaccination, consider them unvaccinated patients. 2.4.3. If the patient has ever received any rabies vaccination before, ask the patient when they have received these dos...

ed (Figure 1 – Wound risk assessment and Figure 2 – PEP risk assessment). 2.7. Fully and clearly explain to the patient the provided treatment (including any injection other than rabies biologicals, to avoid confusion in the patient) and the proposed rabies vaccination schedule, specifying how ...

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