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Urgent Care Management of Possible Rabies Exposure

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Publication Information
Editor in Chief & Update Author

Keith Pochick, MD, FACEP
Novant GoHealth Urgent Care

Urgent Care Peer Reviewer

Claude Shackelford, MD
Assistant Professor of Clinical Medicine, Vanderbilt University Medical Center; Assistant Medical Director,
Walk-In Clinics, Vanderbilt University Medical Center, Nashville, TN

Charting Commentator

Patrick O’Malley, MD

Authors

Bess Storch, MD

Peer Reviewed By

Jason Chu, MD; Edward Otten, MD, FACMT, FAWM

Publication Date

June 1, 2022

CME Expiration Date

June 30, 2025

CME Credits

4 AMA PRA Category 1 Credits™.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits

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CME Information

Charting Tips
  • Although clinical rabies is rare in the United States, potential exposures are not uncommon, and missing an exposure could lead to a uniformly fatal outcome.
  • Ask about and document any animal exposures for patients who have returned from endemic areas (eg, India, Africa, Asia).
  • Properly refer all patients who will be traveling to endemic areas to the health department or a travel medicine clinic for PrEP.
  • For a known animal exposure, bite, or skin injury, perform and document aggressive cleansing with iodine-containing solutions.
  • Ask about and document any situation in which a bat may have been present in a closed space, or any encounter (indoors or outdoors) that involved contact with a bat.
  • Document the rabies status of the involved animal, if possible, as well as the location of the incident and notification of animal control.
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