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Bone marrow transplant (BMT) diet precautions for inpatients

During a BMT, your child’s own bone marrow is destroyed by high doses of chemotherapy and/or radiotherapy and the ability to fight infections is reduced. Many foods contain small amounts of micro-organisms, such as bacteria or fungal infections that are usually harmless, but during the transplant period it is advisable to reduce the total microbial load.

Your child can eat all food from the hospital trolley. All meals will be prepared in the hospital kitchen by a trained cook. You will be able to choose your child’s meals daily. Snacks can be prepared in the ward kitchen following guidelines. Hot foods should not remain in the cubicle for longer than 45 minutes and cold foods for four hours.

In addition, you should also follow these guidelines:

 Foods to avoid

 Alternatives

Meats

 
  • Raw or undercooked (pink) meat and poultry
  • Smoked or cured meats such as Parma ham or salami
  • Pate
               
  • Well-cooked meat and poultry
  • Vacuum-packed cold meats such as turkey or ham
  • Tinned meats
  • Pasteurised pate or paste in tins or jars

Fish

 
  • Raw, smoked or lightly cooked fish such as sushi or smoked salmon
  • Well-cooked fish

Eggs

 
  • Raw or soft-cooked eggs such as homemade mayonnaise, mousses, sauces or meringues
  • Hard-boiled eggs, shop-bought mayonnaise, mousses, sauces or meringues
  • Other products made with pasteurised eggs

Milk and milk products 

 
  • All unpasteurised dairy products, such as unpasteurised cheeses including parmesan cheese, milk sold on local farms
  • Blue-veined cheese such as Danish blue or stilton
  • Soft ripened cheeses such as brie, camembert, goat’s cheese, paneer and labnah
  • Probiotics, live, active or bio products such as live yoghurts, probiotic supplements or drinks
  • Soft ice-cream sold by ice cream vans such as Mr Whippy® 
  • Any pasteurised milk, soya milk, Jersey milk, UHT milk and cheese products
  • Vacuum-packed pasteurised and hard cheeses such as cheddar and edam
  • Processed cheeses such as Dairylea®, Kraft®, Philadelphia® and halloumi
  • Pasteurised plain or fruit yoghurts, such as thick and creamy or Greek yoghurts or yoghurt products such as lassi
  • Commercial ice cream individually wrapped portions 

Vegetables

 
  • Unpeeled vegetables including salad items, stuffed vine leaves, fatoosh and taboulleh
  • Damaged or overripe vegetables
  • Unpasteurised or freshly squeezed fruit or vegetable juices or smoothies containing vegetables that cannot be peeled 
  • Good quality vegetables that are well cooked or peeled
  • UHT or long life fruit and vegetable juices sold in cartons or jars
  • Pasteurised smoothies

 Fruit

 
  • Unpeeled fruit
  • Raw dried fruit such as dates or raisins and products containing these such as muesli
  • Damaged or overripe fruit
  • Unpasteurised or freshly squeezed fruit or vegetable juices or smoothies containing fruits that cannot be peeled

NOTE: Grapefruit is not allowed as it can interfere with ciclosporin levels            

  • Good quality fruit that is well cooked or peeled
  • UHT or long-life fruit and vegetable juices sold in cartons or jars
  • Pasteurised smoothies
  • Tinned fruit or cooked dried fruit such as in cake, flapjacks or cereals bars 
Herbs and condiments
 
  • Uncooked herbs, spices and pepper
 

Drinks

 
  • Non-drinking water, bottled mineral or spring water, water from wells, coolers or drinking fountains
  • Cooled boiled water
  • Sterilised water such as Farley’s® water or Aquasol®

Nuts

 
  • All nuts

NOTE: Food Standards Agency recommends avoiding whole or chopped nuts for children under five years of age

 

Honey

 
  • Unpasteurised or ‘farm fresh’ honey and honeycomb

NOTE: Food Standards Agency does not recommend honey for infants aged less than 12 months            

  • Pasteurised or heat-treated honey 

Miscellaneous

 
  • Food items from ‘pick and mix’ or ‘buffet’ counters
  • Deli counter foods such as olives, hummus, shawarma and baklava  
  • Packets should be individually wrapped or portioned on the ward only 
 

More information

If you have any questions please contact the BMT team on 020 7813 8584.

Last reviewed by Great Ormond Street Hospital: May 2013

Ref: 2013F0852 May 2013

Compiled by the Bone Marrow Transplant team in collaboration with the Child and Family Information Group.

This information does not constitute health or medical advice and will not necessarily reflect treatment at other hospitals. If you have any questions, please ask your doctor. No liability can be taken as a result of using this information.