Likely etiology of B&J Infections based on Host and Environment:

Open Injuries- Soil contamination

Recent health-care contact/ lines/ devices etc.

Special hosts (neutropenic, immunosuppressants, HIV, post-transplant, CKD)

Gram-negative Enterobacteriaceae

S. aureus (MSSA/ MRSA)

Nocardia spp.

Pseudomonas spp.

CONS

Salmonella spp.(sickle cell, thalassemias)

Acinetobacter spp.

Enterococcus spp.

Burkholderia pseudomallei
(diabetics, alcoholics)

Clostridium spp.
(anaerobes)

Drug resistant GNB

Candida spp.
Cryptococcus spp.

Nocardia spp.

Burkholderiacepacia

Endemic mycoses (Histoplasma spp.)

NTM

NTM

Opportunistic moulds (Aspergillus spp., Mucor)

Environmental moulds

Candida spp.

(Above organisms must beĀ  kept in mindĀ  in addition to other routine causes of B&J infections)