NEW ORLEANS– Patients who have neutropenia after going through hematopoietic stem cell transplant (HSCT) do not require to limit themselves to unpalatable healthcare facility foods, a scientist stated here.
A randomized research study of over 200 clients with hematologic illness revealed that clients who got a non-restrictive diet plan– consisting of fresh vegetables and fruits, cold cuts, and pasteurized honey and yogurt– after autologous or allogeneic stem HSCT did not have actually an increased threat of infection compared to clients who had a limiting neutropenic diet plan. The latter only enables foods that have actually been prepared to about 175 ° F, reported Federico Stella, MD, of the Università degli Studi di Milano– Istituto Nazionale dei Tumori in Milan, at the American Society of Hematology (ASH) yearly conference.
Up to30days following autologous HSCT, and 100 days after allogeneic HSCT, 34% of clients on the protective neutropenic diet plan experienced infections versus 39% of clients on the non-restrictive diet plan (relative danger 0.86, 95% CI 0.6-1.2, P= 0.5), Stella and associates discovered. They likewise kept in mind that the occurrence of fever of unidentified origin, consisting of febrile neutropenia, was equivalent in between the protective and non-restrictive diet plan arms at 43% versus 39%, respectively (RR 1.3, 95% CI 0.9-1.7, P= 0.2).
And the occurrence of sepsis was likewise comparable in between protective and non-restrictive diet plan arms (11% vs 14%, RR 0.7, 95% CI 0.4-1.5, P= 0.5).
” The outcomes of this very first randomized research study examining the function of diet plan after allogeneic and autologous stem cell transplant show that using a limiting diet plan is an unneeded concern for clients lifestyle,” Stella stated throughout an ASH press rundown.
He mentioned that infections are a regular issue after HSCT. “Among procedures used to avoid infections, making use of a low