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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
Patrick O’Malley, MD
Bess Storch, MD
Peer Reviewed By
Jason Chu, MD; Edward Otten, MD, FACMT, FAWM
June 1, 2022
CME Expiration Date
June 30, 2025
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
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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