Rabies postexposure prophylaxis algorithm

PEP: postexposure prophylaxis.
* PEP should be initiated immediately in patients with severe bites to the head, neck, or trunk after an unprovoked attack from a high-risk animal. PEP can be discontinued if testing proves the animal was not rabid.
¶ In areas without an endemic, terrestrial strain of rabies (eg, dog, raccoon, skunk, fox, mongoose), contact local public health authorities for risk assessment.