|
Fibrodysplasia Ossificans Progressiva |
 |
 |
Dietary Concerns During Bone Marrow Transplant
Bone marrow transplant (BMT) recipients are very susceptible to germs that could be transmitted from foods and beverages. In an effort to provide a more protected environment, BMT patients are placed on a special diet prior to initiation of the conditioning regimen. Your child will need to stick to this diet until his or her white count increases after transplant.
The nutritionist will walk you through the specifics of this diet as well as some important additional information regarding types of foods permitted.
Low Microbial Diet
The low microbial diet is one in which specific foods have been excluded in an effort to reduce the risk of infection. It is not a sterile diet, but one that will minimize the risks. It meets the recommended dietary allowances (RDA) if appropriate selections are made. The chart below highlights which food items are allowed as well as those that need to be avoided.
| |
Allowed |
Excluded |
| Dairy Products |
- low-fat milk
- nonfat milk
- chocolate milk
- non-dairy cream
- canned eggnog
- hospital milkshakes or milkshakes made with evaporated or condensed milk
- all pasteurized yogurts and hard cheeses
|
- soft-serve ice cream
- raw milk
- non-pasteurized dairy products
- moldy cheeses and soft cheeses (ie. Bleu and brie)
|
| Vegetables |
- cooked fresh or frozen vegetables
- canned vegetables except sauerkraut
- canned vegetable juices
|
- all raw or uncooked vegetables
- all salads
- sauerkraut
- stir-fry vegetables
- potato skins
|
| Fruit and Juices |
- any canned or stewed fruit
- any pasteurized canned or bottled fruit juice
|
- all fresh fruit
- non-pasteurized fruit juices
- raisins and other dried fruit, unless part of a baked food such as a raisin oatmeal cookie
|
| Breads, Cereals and Other Starches |
- any white or whole grain breads or rolls
- muffins
- bagels
- biscuits
- crackers and melba toast
- pretzels
- sweet rolls and donuts
- pancakes, waffles and French toast
any cooked or dry cereals
- white or sweet potatoes (without skin)
- yams
- potato chips
- macaroni, noodles and spaghetti
- rice
|
- sweet rolls with custard or cream filling
- unprocessed bran, unless part of a baked or cooked food
|
| Meat and Protein Products |
- well done cooked beef, veal, ham, pork, lamb, chicken, turkey and fish
- fresh or pasteurized eggs thoroughly cooked, any style
- casseroles or stews using allowed foods
- macaroni and cheese Peanut butter
- Roasted nuts
|
- raw fish and shellfish
- raw or rare meats
- raw or soft-cooked eggs including "over-easy" fried eggs
- stir-fried foods such as Chinese entrees
- Raw nuts
|
| Soup |
- any cooked hot homemade, canned frozen or dehydrated soup
|
- cold soups such as Gazpacho
|
| Fats |
- margarine and butter
- vegetable oils
- crisp bacon
- cooked gravies
- white sauces
- oil and vinegar type dressings
|
- whipped topping
- Avocado
- bleu cheese
- Roquefort cheese dressing
|
| Desserts |
- plain cakes
- cookies
- custard pudding
- gelatin desserts
- commercially made hard ice cream, ices and sherbet
|
- non-commercial ice cream
- all other desserts made with foods in the exclude list (see also Breads, Cereals and Starches)
|
| Sweets and Spices |
- salt spices, herbs and seasonings may be used in food only during the cooking process
- sugar
- jam, jelly and preserves
- honey, syrup and molasses
- candy
- chocolate and cocoa
|
- added pepper, spices, herbs and seasonings to food after they have been cooked
- shredded coconut
|
| Beverages |
- coffee, caffeinated and decaffeinated
- tea
- cocoa
- carbonated beverages lemonade (reconstituted from powder with sterile water)
- canned or bottled beverages if pasteurized
|
- beverages made with frozen concentrate or reconstituted with non-sterile water
|
Additional Information
While in the hospital, a daily menu with food choices will be provided for the following day. During your child's stay, no prepared foods other than those served from the central kitchen or from the BMTU are permitted. Family members may bring in commercially prepared, unopened, individual-sized packages of candy, chips, pretzels, cereals, cookies or similar food. Prepared meals and foods cannot be brought in from home.
If there are questions, please check with the nurse or nutritionist.
The food will be brought in on paper isolation trays that will be covered. Utensils will be plastic and individually wrapped.
Here are some other important guidelines:
- Your child may only eat the first serving of an unopened canned or packaged food.
- Sterile water must be used for drinking and for food and beverage preparation, including ice cubes.
- Popsicles and similar frozen foods are allowed if made from a pasteurized base.
- Seasonings, spices and herbs can be used only during the cooking process and cannot be added to food later.
- Garnishes, such as parsley and flowers, should not be used.
- Only thoroughly cooked foods, heat-processed canned foods and foods that are commercially pre-packaged and sealed are permitted. Any dented or bulging cans should be discarded.
- All perishable foods delivered from the hospital cafeteria should be discarded if not eaten within one hour of delivery.
More Information:
Reviewed by health care specialists at UCSF Children's Hospital.
Last updated February 5, 2008
This information is for educational purposes only and is not intended to replace the advice of your doctor or health care provider. We encourage you to discuss with your doctor any questions or concerns you may have.
|
|
