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Rabies: a review of UK management

¹ Royal Gwent Hospital, Newport
² Emergency Medicine, Cape Town, South Africa

Correspondence to:
Correspondence to:
Dr N McKay
Accident and Emergency, Royal Gwent Hospital, Newport, UK; docneilmckay{at}aol.com

ABSTRACT
Rabies is endemic worldwide, and causes approximately 30 000 deaths per year. In the past 20 years, 12 deaths have occurred in the UK, although all but one case were contracted overseas. We have reviewed the current literature regarding the management of possible rabies exposure in the setting of a UK emergency department. The article offers an overview of rabies, including pathology, risk assessment, and current treatment, including both pre-exposure and post-exposure prophylaxis. We have also included a form online, which allows the correct information to be obtained and recorded prior to seeking advice from the local virology services.

Abbreviations: CDSC, Communicable Disease Surveillance Centre; EBLV, European bat lyssavirus; ED, emergency department; HRIG, human rabies immunoglobulin

Keywords: rabies; pre-exposure prophylaxis; post-exposure prophylaxis

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