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VCU Health System

By Theodore Johnson,2014-07-11 19:16
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VCU Health System

    DIET GUIDELINES FOR IMMUNOSUPPRESSED PATIENTS

    Persons with decreased immune function due to chemotherapy and radiation are at increased risk of developing a food-related infection. The purpose of this diet is to help you avoid specific food choices. Choose foods from the ―Approved‖ column. Do not eat foods in the ―Not Allowed‖ column. You may want to discuss the safety of these or other foods with your dietitian.

    This diet should be followed before and after all conditioning (chemotherapy and/or radiation) therapy. Your doctor and dietitian will provide guidelines as to when the diet is no longer required. In general, we are recommending that chemotherapy only patients and autologous transplant patients follow the diet during the first three months after chemotherapy or transplant. Allogeneic transplant patients should follow the diet until off all immunosuppressive therapy (e.g., cyclosporine, tacrolimus, sirolimus, prednisone, cellcept, thalidomide, etc.). Prior to the end of these time periods, patients and their caregivers should discuss with their referring physician whether or not the diet or parts of the diet should be continued.

    Immunosuppressed Patient Diet

Food Groups Allowed Not Allowed

    All pasteurized, grade ―A‖ milk and Unpasteurized or raw milk, cheese,

    milk products yogurt, and other milk products Commercially packaged cheese and Cheeses from delicatessens cheese products made with pasteurized

     milk (e.g., mild and medium cheddar, Cheeses containing chili peppers or

     mozzarella, parmesan, swiss, etc.) other uncooked vegetables

    Pasteurized yogurt Cheeses with molds (e.g., blue, stilton, Roquefort, gorgonzola, etc.) Dairy Dry, refrigerated, and frozen pasteurized whipped topping Sharp cheddar, brie, camembert, feta

     cheese, farmer’s cheese

    Ice cream, frozen yogurt, sherbet, ice

    cream bars, homemade milkshakes Soft serve ice cream or yogurt

    Commercial nutritional supplements and

    baby formulas, liquid and powder

    Commercial pasteurized eggnog

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    Food Groups Allowed Not Allowed

    All well cooked or canned meats (beef, Raw or undercooked meat, poultry,

    pork, lamb, poultry, fish, shellfish, fish, game, tofu game, ham, bacon, sausage, hot dogs) Raw or undercooked eggs and egg Well cooked eggs substitutes

     Well cooked pasteurized egg substitutes Meats and cold cuts from

    (e.g., Egg Beaters?) delicatessens Meat and Meat i Substitutes Commercially packaged salami, Hard cured salami in natural wrap bologna, and other luncheon meats

     Cold smoked salmon (fish); lox

    Canned and commercially packaged

    hard-smoked fish; refrigerated after Pickled fish

    opening

     Tempe (Tempeh) products

    Cooked tofu

    All cooked entrees and soups All miso products (e.g., miso soup) Entrees, Soups

    Canned and frozen fruit and fruit juices Unwashed raw fruits

     Well washed raw fruit; foods containing Unroasted raw nuts well washed raw fruits Roasted nuts in the shell

     Dried fruits

    Fruits and Nuts Unpasteurized fruit and vegetable

    Canned or bottled roasted nuts juices

    Nuts in baked products

    Commercially packaged peanut butter

    All cooked frozen, canned, or fresh Unwashed raw vegetables or herbs

    vegetables and potatoes All raw vegetable sprouts (alfalfa, Well washed raw vegetables radish, cauliflower, broccoli, mung bean, all others)

     Fresh, well washed herbs and dried

    Vegetables herbs and spices (added to raw or Salads from delicatessens

    cooked foods)

    Commercial salsas stored in

    refrigerated case

    Raw mushrooms

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    Food Groups Allowed Not Allowed

    Tap water and ice made from tap water Well water (unless tested frequently

     and found to be free of coliforms) Commercial bottled distilled, spring, and natural waters Cold-brewed tea made with warm or cold water

     All canned, bottled, powdered beverages

     Unpasteurized commercial fruit and iiInstant and brewed coffee, tea; cold vegetable juices Beverages

    brewed tea made with boiling water

     Mate tea

    Brewed herbal teas using commercially

    packaged tea bags Alcohol

    Commercial nutritional supplements,

    liquid and powdered

    Refrigerated commercial and homemade Unrefrigerated, cream filled pastry

    cakes, pies, pastries, and pudding products (not shelf stable) Refrigerated, cream filled pastries

     Homemade and commercial cookies iiiDesserts

    Shelf stable cream filled cupcakes (e.g.,

    Twinkies?, Ding Dongs?, etc.), fruit

    pies (e.g., Pop Tarts?, Hostess Fruit

    Pies?), and canned pudding

    Ices, popsicle-like products

    All breads, bagels, rolls, muffins, Raw grain products

    pancakes, sweet rolls, waffles, French toast Bread, Grain, and Cereal Potato chips, corn chips, tortilla chips, ivProducts pretzels, popcorn

    Cooked pasta, rice, and other grains

    All cereals, cooked and ready-to-eat

    Oil, shortening Fresh salad dressings containing aged

     cheese (e.g., blue, Roquefort) or raw Refrigerated lard, margarine, butter eggs, stored in refrigerated cases Fats

    Cooked gravy and sauces

     (Continued next page)

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