Persons with
decreased immune function due to chemotherapy and radiation therapy are at
increased risk of developing a food-related infection. The purpose of this diet
is to help you avoid specific foods that are more likely to contain
infection-causing organisms while allowing maximum healthy food choices. This
diet should be followed before and after all conditioning therapy (chemotherapy
and/or radiation).
• For autologous transplant patients undergoing
chemotherapy treatment only: follow
this diet during the first three months after chemotherapy or transplant.
• For allogenic transplant patients: follow the diet until you are off all immunosuppressive
therapy such as cyclosporine, prednisone, FK-506 (Tacrolimus®) or
MMF (CellCept®).
Prior
to the end of these time periods, patients and their caregivers should talk to
their physician and dietitian regarding
whether or not to continue any part of the diet.
DAIRY
May eat
v
All pasteurized, grade “A” milk and milk
products including eggnog, yogurt, ice cream, frozen yogurt, sherbet, ice cream
bars, milkshakes, processed cheese slices and spreads, cream cheese, cottage
cheese and ricotta cheese
v
Dry, refrigerated, or frozen pasteurized whipped
topping
v
Commercially packaged hard and semi-soft cheeses
such as cheddar, mozzarella, parmesan, Swiss, Monterey Jack, etc.
v
Cooked soft cheeses such as brie,
camembert, feta, farmer’s cheese *
v
Commercially sterile ready-to-feed and
liquid-concentrate infant formulas (avoid powdered infant formulas if a
ready-to-feed or liquid concentrate alternative is available)
*Though not completely risk
free, the risk of contracting food borne illness from COOKED soft cheeses is
low
Do not eat
v
Non-pasteurized or raw milk and milk products
made from non-pasteurized or raw milk.
v
Cheeses from delicatessens
v
Cheese containing chili peppers or other
uncooked vegetables
v
Cheeses with molds (such as blue, Stilton,
Roquefort, gorgonzola)
v
Mexican-style soft cheese such as queso fresco,
queso blanco
MEAT
AND MEAT SUBSTITUTES
May eat
v
All meats cooked to well done (see temperature
guide attached) or canned meats (beef, pork, lamb, poultry, fish, shellfish,
game, ham, bacon, sausage, hot dogs)
v
Eggs cooked until both white and yolk are firm
v
Pasteurized eggs and egg substitutes (such as
Egg Beaters®), and powdered egg white (all can be used uncooked)
v
Commercially-packaged salami, bologna, hot dogs,
ham and other luncheon meats, heated until steaming
v
Canned and shelf-stable1 smoked fish (refrigerate after opening)
v
Pasteurized or cooked tofu2
v
Refrigerated smoked seafood such as salmon or
trout if cooked to 160°F or contained in a cooked dish or casserole
Do not eat
v
Raw or undercooked meat, poultry, fish, game,
tofu1
v
Raw or undercooked eggs and non-pasteurized egg
substitutes; no eggs over easy, soft-boiled eggs, or poached eggs.
v
Meats and cold cuts from delicatessens
v
Hard cured salami in natural wrap
v
Uncooked refrigerated smoked seafood such as
salmon or trout labeled as “nova-style,” “lox,” “kippered,” “smoked” or “jerky”
v
Pickled fish
v
Tempe (tempeh) products
FRUITS
AND NUTS
May eat
v
Well washed3 raw and frozen fruit; foods containing well
washed raw fruits
v
Cooked, canned and frozen fruit
v
Pasteurized juices and frozen juice concentrates
v
Dried fruits
v
Canned or bottled roasted nuts
v
Shelled, roasted nuts and nuts in baked products
v
Commercially-packaged nut butters (such as
peanut butter, almond butter
Do not eat
v
Unwashed raw fruits
v
Unroasted raw nuts
v
Roasted nuts in the shell
v
Non-pasteurized fruit and vegetable juices
v
Fresh fruit salsa found in the grocery
refrigerator case
v
Non-pasteurized items containing raw fruits
found in the grocery refrigetor case
ENTRESS,
SOUPS
May eat
v
All cooked entrees and soups
Do not eat
v
All miso products (such as miso soup and miso
paste)
1 Shelf-stable refers to unopened canned, bottled, or packaged food
products that can be stored before opening at room temperature; container may
require refrigeration after opening
2 Aseptically packaged, shelf-stable tofu and pasteurized tofu do
not need to be boiled. Unpasteurized tofu must be cut into 1-inch cubes or
smaller, and boiled a minimum of five minutes in water or broth before eating
or using in recipes.
3 Rinse
under clean, running water before use, including produce that is to be cooked
or peeled (such as bananas, oranges and melon
VEGETABLES
May eat
v Well washed3 raw and frozen vegetables
v All cooked fresh, frozen or canned vegetables, including potatoes
v Shelf-stable1 bottled salsa (refrigerate after opening)
v Cooked vegetable sprouts (such as mung bean sprouts)
v
Fresh, well
washed3 herbs and dried
herbs and spices (added to raw or cooked food
Do not eat
v Unwashed raw vegetables or herbs
v Fresh, non-pasteurized vegetable salsa found in the grocery
refrigerator case
v Non-pasteurized items containing raw vegetables found in the
grocery refrigerator case
v All raw vegetable sprouts (alfalfa sprouts, clover sprouts, mung
bean sprouts, all others)
v Salads from delicatessens
BREAD, GRAIN,
AND CEREAL PRODUCTS
May eat
v
All breads, bagels, rolls, English muffins,
muffins, pancakes, sweet rolls, waffles, French toast
v
Potato chips, corn chips, tortilla chips,
pretzels, popcorn
v
Cooked grains and grain products, including
pasta and rice
v
All cereals, cooked and ready-to-eat
Do not eat
v
Raw (not baked or cooked) grain products (such
as raw oats)
BEVERAGES
May eat
v
Boiled well water4
v
Tap water and ice made from tap water
v
Commercially-bottled distilled, spring and
natural waters5
v
All canned, bottled and powdered beverages
v
Instant and brewed coffee and tea; cold brewed
tea made with boiling water
v
Herbal teas brewed from commercially-packaged tea
bags
v
Commercial nutritional supplements, both liquid
and powdered
v
Commercially sterile ready-to-feed and liquid-concentrate
infant formulas (avoid powdered infant formulas if a ready-to-feed or liquid
concentrate alternative is available)
Do not eat
v
Unboiled well water
v
Cold-brewed tea made with warm or cold water
v
Non-pasteurized fruit and vegetable juices
v
Mate´ tea
v
Wine, unpasteurized beer
v
(Note: All alcoholic beverages should only be
consumed following physician approval.)
4 Bring tap water to a rolling boil and boil for 15-20minutes. Store
boiled water in the refrigerator. Discard water not used within 48 hours (2
days).
5 Recommend using boiled or bottled water if using a water service
other than city water service. Please see Water Safety Guidelines in
“Food Safety Guidelines”.
6 See Water Safety Guidelines in
“Food Safety Guidelines” for approved bottled water treatments.
DESSERTS
May eat
v
Refrigerated commercial and homemade cakes,
pies, pastries and pudding
v
Refrigerated cream-filled pastries
v
Cookies, both homemade and commercially prepared
v
Shelf-stable3 cream-filled cupcakes (such as
Twinkies®,
Ding Dongs®)
and fruit pies (such as Poptarts® and Hostess® fruit pies)
v
Canned and refrigerated puddings
v
Ices, popsicles and similar products
v
Candy gum
Do not eat
v
Unrefrigerated cream-filled pastry products (not
shelf-stable3)
FATS
May eat
v Vegetable
oils and shortening
v Refrigerated
lard, margarine, butter
v Commercial,
shelf-stable3 mayonnaise and salad dressings including Blue Cheese and other
cheese-based salad dressings (refrigerate after opening)
v Cooked
gravy and sauces
Do not eat
v Fresh
salad dressings (stored in the grocer’s refrigerated case) containing
raw eggs or cheeses listed as “Do Not Eat” under “Dairy”.
OTHERS
May eat
v Commercial
pasteurized Grade A honey7
v Salt,
granulated sugar, brown sugar
v Jam,
jelly, syrups (refrigerate after opening)
v Catsup,
mustard, BBQ sauce, soy sauce, other condiments (refrigerate after opening)
v Pickles,
pickle relish, olives (refrigerate after opening)
v Vinegar
Do not eat
v Raw
honey; honey in the comb
v Herbal
and nutrient supplement preparations (refer to Guidelines for Use of Herbal and
Nutrient Supplements in Patient & Caregiver Resource Manual)
v Brewers
yeast, if uncooked
7 Honey
products are not allowed for any child less than one year of age and not
allowed for children with SCIDS until 9 months posttransplant.
sharing is caring..
*sumber drpd Food Hutchinson Cancer research center University of Washington Children Hospital and Regional Medical center dan diedit sikit oleh sy...
