Investigating the use of the neutropenic diet: a survey of UK dietitians

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
S E Carr, V Halliday

Abstract

Patients with chemotherapy-induced neutropenia are at increased risk of infection. Historically, dietary restrictions commonly referred to as 'clean', 'low bacteria', 'low-microbial' or 'neutropenic' diets have been prescribed to reduce the risk of foodborne infection. Although research does not support their effectiveness, they continue to be used in clinical practice. The present study aimed to investigate the use of dietary restrictions in patients with cancer in the UK by surveying registered dietitians (RDs). An online questionnaire was distributed to 573 RDs via local and specialist interest groups of the British Dietetic Association. One hundred and ten questionnaires were returned. Of these, 67.8% of RDs prescribed dietary restrictions to patients, with 'neutropenic diet' being the most commonly used term. Specialist oncology or haematology RDs were more likely to use the diet than nonspecialist RDs (P < 0.005). The variety of foods restricted varied greatly and was often contradicting. Unpasteurised dairy products and raw or lightly cooked meat or fish were most commonly restricted. Less than half (43.6%) of RDs had a policy in place for the use of neutropenic diets, with specialist oncology and haematology RDs more li...Continue Reading

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Citations

Sep 25, 2015·Nutrition and Cancer·Mohamad Bassam SonbolThomas E Witzig
Aug 27, 2015·International Journal of Environmental Research and Public Health·Barbara M Lund
Apr 25, 2016·The Cochrane Database of Systematic Reviews·Elvira C van DalenMarianne D van de Wetering
Aug 24, 2019·European Journal of Cancer Care·Mei Shan HengJolene Thomas

Related Concepts

Malignant Neoplasms
Diet
Food
Hematology (Discipline)
Meat
Neutropenia
Research
Zebrafish
Malnutrition
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