Authors
Anke Barnbrock, Jon Salmanton-García, Franziska Lankes, Konrad Bochennek, Stefan Schöning, Thomas Lehrnbecher
Publication date
2024/4
Journal
JCO Oncology Practice
Volume
20
Issue
4
Pages
503-508
Publisher
Wolters Kluwer Health
Description
PURPOSE
Prophylactic anti-infective strategies are used in patients with cancer to decrease the risk for infection. Dietary restrictions do not allow raw vegetables and fresh fruits to limit the introduction of potentially harmful pathogens in the gastrointestinal tract, but the efficacy is unclear.
PATIENTS AND METHODS
In this study analyzing the impact of the dietary restrictions on infectious complications, all children treated between April 2014 and March 2018 for ALL and AML or non-Hodgkin lymphoma (NHL) were included. Dietary restrictions were standard until March 2016, but were stopped in April 2016. Patients with dietary restrictions (treated April 2014-March 2016) and patients not advised for dietary restrictions (treated April 2016-March 2018) were compared regarding infectious complications, including bloodstream infection, pneumonia, diarrhea, and fever of unknown origin (FUO).
RESULTS
Eighty-six …