Analgesics → opioids (NOT NSAIDs and corticosteroids not recommended)
RABIES EXPOSURE
OMAFRA Post-Exposure Management for Dogs and Cats
Animal fully vaccinated for rabies (at least 2 consecutive vaccines and still within label interval):
Booster within 7 days of exposure → Observation Period (OP) for 45 days
No booster within 7 days → Precautionary Confinement Period (PCP) for 3 months
Animal primarily vaccinated for rabies (only 1 vaccine and not yet due for 12 month booster):
Booster within 7 days of exposure → OP for 45 days
No booster within 7 days of exposure → PCP for 3 months
Animal not up-to-date with rabies vaccine (previous rabies vaccine expired):
Case-by-case (duration since last vaccine, total # vaccines, delay between exposure and revaccination, overall health status)
Booster within 7 days of exposure → PCP for 3 months
No booster within 7 days of exposure → PCP for 6 months
Animal never vaccinated for rabies or unknown vaccine history:
Booster within 7 days of exposure → PCP for 3 months
No booster within 7 days of exposure → PCP for 6 months
Observation Period (OP):
Minimize animal’s contact outside of household
Dogs allowed off the property with a responsible age-appropriate handler but must be kept on a leash at all times
Cats must remain indoors at all times
Precautionary Confinement Period (PCP):
Animal must remain on owner’s property at all times unless medical attention is required
Contact with animal limited to 1 age-appropriate caretaker
No contact with other people or animals
Dogs can only go outside on a leash and in a fenced area (ie. double barrier)
When indoors, animal must be kept in a secluded area with double-door entry that allows caretaker to observe the animal before direct contact, and prevents accidental escape
Fenbendazole 50mg/kg PO SID +/- Metronidazole 25mg/kg BID for 5 days
If treatment + bathing does not eliminate infection, extend for additional 10 days
Treat same household species with one course of therapy
Monitoring:
Recheck fecal flotation (ZnSO4) 24-48h after treatment if still clinical
Control:
Bathe on last day of treatment.
Remove feces daily and dispose with municipal waste.
Environmental areas (e.g., soil, grass, standing water) are difficult to decontaminate, but surfaces can be sanitized by steam-cleaning or use of commercially available disinfectants. Allow surfaces to dry thoroughly after cleaning.
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Protocols