%0 Journal Article
%T Dietary recommendations for immunosuppressed patients of 17 hematopoietic stem cell transplantation centers in Brazil
%A Vicenski
%A Paola Pasini
%A Alberti
%A Paloma
%A Amaral
%A Denise Johnsson Campos do
%J Revista Brasileira de Hematologia e Hemoterapia
%D 2012
%I Sociedade Brasileira de Hematologia e Hemoterapia
%R 10.5581/1516-8484.20120028
%X introduction: low-microbial diets are recommended to reduce the risk of foodborne infections when hematopoietic stem cell transplantation patients have neutropenia. however there is no pattern concerning the composition of such a diet. objectives: to collect information concerning the structure of nutrition departments and the diets recommended for immunosuppressed patients in transplant centers in brazil. methods: questionnaires were sent to the 45 bone marrow transplantation centers listed by the sociedade brasileira de transplante de medula ¨Žssea (sbtmo). completed questionnaires were returned by 17 centers. the questions were related to the profile and the structure of the nutrition department, at what point a general diet is allowed after transplantation, and which food is allowed during the critical period of immunosuppression and soon after transplantation. results: of the 17 centers that participated, 82% have a professional nutritionist exclusively for the transplant department but only 41% have an area specifically for the preparation of diets for immunosuppressed patients. the patients are released from the low-microbial diet to general diets 90-100 days after allogeneic hematopoietic stem cell transplantation by 29% of the centers and only after suspension of immunosuppressive drugs in 24%. most centers (88%) restrict the consumption of raw fruits, all restrict the consumption of raw vegetables and 88% forbid the consumption of yogurt in the critical period of immunosuppression. there was no consensus on forbidden foods soon after transplantation. conclusion: major differences in diets recommended to hematopoietic stem cell transplantation patients were observed between the different centers.
%K hematopoietic stem cells transplantation
%K immunosuppression
%K neutropenia
%K diet [standards].
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1516-84842012000200008&lng=en&nrm=iso&tlng=en