Cellulitis/abscess - unresponsive risk factors
- If severe infection or unresponsive to above suggested empiric therapy, assess for the following risk factors and modify empiric therapy to cover those specific pathogens.
| Condition | Other Potential Pathogens |
|---|---|
| Diabetic wound/ulcer | Group B Streptococci If chronic: Anaerobes Enterobacterales |
| Neutropenia | Pseudomonas aeruginosa |
| Cirrhosis |
Capnocytophaga canimorsus (if animal exposure) Enterobacterales |
| Intravenous drug use | MRSA Pseudomonas aeruginosa |
| Subcutaneous drug use | Eikenella corrodens Streptococcus anginosus group Anaerobes |
| Fresh water exposure | Aeromonas hydrophila complex |
| Salt water exposure | Vibrio spp |
| Post trauma with soil/water exposure, cosmetic procedures, recreational water sports | Mycobacterium spp Send specimen for mycobacterial culture |
| Fish tank exposure, fisherman | Mycobacterium marinum Send specimen for mycobacterial culture |
| Reptile contact | Salmonella spp |