Category I

Category II

Category III

Immunologically naïve person

Thorough washing of exposed skin with soap. No PEP required

Thorough washing and

immediate vaccination

2 sites ID on days 0, 3 and 7

OR

1  site IM on days  0, 3, 7

and between 14-28 OR

2  Site IM on day 0 and 1 site IM on days 7 and 21 RIG not indicated

Thorough washing and immediate vaccination 2 sites ID on days 0, 3, 7

OR

1  site IM on days 0, 3, 7 and between 14-28

OR

2  site IM on day 0 and 1 site

IM on days 7 and 21 RIG indicated

Previously immunized

Thorough washing of exposed skin with soap. No PEP required

Thorough washing and immediate vaccination

1 site ID on days 0 and 3

OR

4 sites ID on day 0

OR

1 Site IM on days 0 and 3 RIG not indicated

Thorough washing and immediate vaccination

1 site ID on days 0 and 3

OR

4 sites ID on day 0

OR

1 site IM on days 0 and 3 RIG not indicated

Category I- Intact skin (no exposure)

ID - Intradermal

Ref :WHO Rabies fact sheet

Category II- Minor scratches (no bleeding)

IM- intramuscular

Category III- Wounded skin/multiple bites

RIG- Rabies

immunoglobulins