Diet for Immunosuppressed
Adapted from: Fred Hutchinson Nutritional
Guidelines for Immunosuppressed Patients.
These guidelines should
not be considered a substitute for your doctor's advice.
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Allowed in BEVERAGE GROUP
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All canned, bottled, powdered beverages
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Instant and
brewed coffee, tea
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Commercial bottled
distilled, spring and natural waters
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Tap water - if from a validated city water service
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Avoid in BEVERAGE GROUP
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Well water - unless tested yearly and found safe
(boil for 5 minutes if unsure)
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Un-pasteurized fruit ciders
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Brewed herb teas (NEW)
Bacillus cereus is an emerging pathogen that causes
invasive disease in immunocompromised hosts. A case-control
study, prompted by a clinical case, demonstrated an
association between dietary tea ingestion and B. cereus
bacteremia. Policies designed to interrupt transmission of
this pathogen to susceptible patients should be considered. Source
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Allowed in DAIRY GROUP
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All pasteurized milk and milk products, including cheese
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Non-dairy
pasteurized cream products
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Dry, refrigerated and frozen
pasteurized whipped topping; Ice cream;, frozen yogurt
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Sherbet, ice cream bars, milkshakes
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Commercial nutritional
supplements and baby formulas - liquid and powdered
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Avoid in DAIRY GROUP
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Un-pasteurized or raw milk products, including yogurts
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Cheeses containing chili peppers or uncooked vegetables
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Sharp cheddar, brie, camembert, feta cheese, farmers
cheese
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Yogurt ("pasteurized" stated on label)
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Cheeses with molds, including: blue,
Stilton, Roquefort, Gorgonzola
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Allowed in DESSERT GROUP (see Caveat
1)
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Refrigerated commercial or homemade cakes, pies,
pastries and pudding
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Homemade and commercial cookies
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Shelf-stable cookies, cream-filled cupcakes, fruit pies,
pastries, pop tarts and puddings, Ices, popsicle-like products
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Avoid in DESSERT GROUP
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Un-refrigerated cream-filled pastries, cakes,
cookies, and pies
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Allowed in FRUITS & NUTS
GROUP
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Canned and frozen fruits and fruit juices
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Thick-skinned fresh fruits
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Well washed raw fruit
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Dried fruits
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Canned or bottled roasted nuts
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Nuts in baked products
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Avoid in FRUITS & NUTS GROUP
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Unwashed raw fruits
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Thin-skinned fruits
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Un-roasted, raw nuts, nuts in a shell
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Salads from delicatessens
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Commercial
salsas stored in refrigerated case of store
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Allowed in BREADS & GRAIN GROUP
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Cooked and dry ready-to-eat cereals
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Cooked and
canned legumes: lentils, split peas
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All breads, bagels,
rolls, chips, crackers, muffins, pancakes, popcorn,
sweet rolls, waffles
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Refrigerated cream-filled pastries (see
Caveat 1)
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Cooked pasta, rice,
and other grains
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Avoid in BREADS & GRAIN GROUP
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Unrefrigerated, cream-filled pastry products
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Raw grain
products
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Allowed in FATS GROUP (See Caveat
2)
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Oil, shortening, lard, margarine and butter - refrigerated after
opening
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Commercial shelf-stable mayonnaise
and salad dressings (including Roquefort, Blue cheese
dressings) - when refrigerated after opening
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Avoid in FATS GROUP
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Fresh salad dressings containing aged cheese
(e.g., blue, Roquefort) kept in refrigerated
case in store
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Allowed in OTHER GROUP (see Caveat
1)
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Soups
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Salt and granulated sugars, brown sugar
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| Jams, jelly, syrups - refrigerated after opening
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Pasteurized honey
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Condiments refrigerated after opening, including
catsup,
mustard, BBQ sauce,
olives, pickles, relish; soy sauce,
vinegar candy, gum
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Avoid in
OTHER GROUP
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Raw or un-pasteurized honey
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| Herbal and non-traditional (health
food store) nutrient supplements (check with doctor before
taking any supplements)
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| Brewers yeast, if eaten uncooked
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| All miso products (e.g., miso soup)
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Allowed in MEAT GROUP
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All well cooked meats: poultry, fish, shellfish,
ham, bacon, sausage and hot dogs
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Well cooked eggs (white cooked firm
with thickened yolk is acceptable)
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Pasteurized egg
substitutes (e.g., Egg Beaters)
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Commercial packaged salami,
bologna, other luncheon meats. Hard smoked fish, refrigerated
after opening
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Avoid in MEAT GROUP
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Raw or undercooked meats
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Pickled fish
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Cold smoked salmon, lox (or other fish)
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Allowed in VEGETABLE GROUP
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All canned and frozen vegetables and potatoes
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Cooked fresh vegetables
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Well washed raw vegetables and fresh herbs (check with your
doctor first)
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Dried herbs and spices (may be added during or after
cooking and to raw foods)
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Bottled and canned salsa,
refrigerated after opening
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Avoid in VEGETABLE GROUP
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Unwashed raw vegetables
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Salads from delicatessens
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Commercial salsas stored in refrigerated case of store
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Food
Tips for
Managing Nausea and Maintaining Oral Health
Getting adequate nutrition
and liquids can be a challenge when you are experiencing
nausea as a result of treatment.
Notify your
doctor when the medications you are taking are not adequate to
control the nausea.
Obtain prescriptions prior to treatment so that you
can have medications on hand and begin to take them on time.
General Tips:
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Drink
lots of liquids through a straw to bypass mouth
sours.
Hydration is important for all of these
reasons: Fight constipation,
reduces risks associated with
medications that might affect the bladder and
kidneys,
Supports healing and general health.
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Boil
well water or any liquids you suspect might not be free of
bacteria. |
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Eat
frequent small meals. |
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Cook
foods until tender and soft. |
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Avoid
hot foods because they can burn the mouth and have
stronger odors. |
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Prepare
cool dishes that will have less odor. |
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Use
a cleaned blender to prepare purées and soups - to aid in
digestion |
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Wash
your hands before preparing and eating foods. |
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Rinse
your mouth with a saline, baking soda, and water
often, and after all meals. |
Safe
foods shopping list - for managing nausea
| BEVERAGES - sip liquids slowly thru a straw:
Seltzers
Ginger ale or tea
Tea with low-fat milk
Bottled water
Pasteurized fruit juices
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| PROTEIN - getting adequate protein is important to
healing:
Whey protein drink (for nutrition), blend with low fat
milk
Egg - well-cooked, scrambled with toast
Chicken cutlet - broiled with light seasoning
Fish - non-oily - broiled neutral-tasting, such as
flounder and scrod
Beans and rice - Cooked, but do not season with strong
spices
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| GRAINS - be sure to rinse mouth after eating (see
General Tips, above)
Crackers
Pretzels
Toast
Pastina, Noodles - add to mild soup stocks
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| FRUITS & VEGETABLES - Cooked, jarred and canned
vegetables and fruit are safest
Baby food
Canned fruit - pears, apple sauce
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COOL SNACKS for liquid
Popsicles
Sherbet
Gelatins - flavored
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Caveat 1:
Avoid excessive sugar. See Oral Health
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Caveat 2: Avoid fatty foods; they
can contribute to nausea.
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