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Abstract
The decision to administer rabies vaccine can be made only by the attending physician and should be based solely on the probability that the patient has been exposed to rabies virus in such a manner that infection is likely to result. This probability is based on the biting species, local prevalence of rabies, clinical status of the animal, vaccination history of the animal, severity of the bite, exposure site, local wound cleansing, previous immunization history of the patient, and age. If vaccine is to be administered, it should be initiated as soon as possible after the exposure, and should be accompanied by thorough local wound cleansing.