Guidelines
Immunocompromised - SSTI

Immunocompromised - SSTI

Consults

Infectious Disease consult recommended, particularly if severely immunocompromised or if systemically unwell.

Note

This category includes patients on immunosuppressive therapy,

transplant patients (solid/HSCT), HIV, cirrhosis, dialysis patients, and others.

Potential pathogen list is extensive, yet Strep and Staph predominate.

Necrotic lesions with surrounding cellulitis (i.e. ecthyma gangrenosum) can indicate pathogens such as Pseudomonas, Aspergillus, or Candida.

Consider Obtaining Samples/Biopsies in This Population For:

Bacterial culture, Gram Stain

Fungal culture

Mycobacterial culture, AFB

Viral culture/PCR

Histopathology