Significant inconsistency among pediatric oncologists in the use of the neutropenic diet

Braun, Lauren; Chen, Heidi; Frangoul, Haydar

doi:10.1002/pbc.25104

Cited by 29 publications

(24 citation statements)

References 10 publications

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“…The nutrient compositions of the diets were calculated based on the daily menus used for 6 days. For the neutropenic diet, two versions were examined: a strict diet that excluded raw and fresh foods (which is commonly used in most oncology centers) and a second version that included thick skinned fruits. Calculations were performed according to the reference values of the Brazilian food composition table .…”

Section: Methodsmentioning

confidence: 99%

“…However, there is no scientific evidence to support its benefit, and this diet can lead to difficulties in compliance and oral intake . Moreover, the lack of knowledge regarding the neutropenic diet has led to a lack of uniformity in the dietary recommendations of centers . Therefore, the microbiological and nutritional contents of regular and neutropenic diets that are offered to pediatric patients were analyzed and compared.…”

Section: Introductionmentioning

confidence: 99%

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Microbiological profile and nutritional quality of a regular diet compared to a neutropenic diet in a pediatric oncology unit

Maia

Cruz

Gregianin

2017

Pediatric Blood & Cancer

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It has been hypothesized that a neutropenic diet has lower microbe content. Here, the microbiological and nutritional contents of regular and neutropenic diets offered to pediatric patients were analyzed. Microbiological contamination was detected in five of 36 of the food samples analyzed, yet there was no statistical differences between the diets (P = 1.00) or in their odds ratio (0.62) (95% CI = 0.05-6.35; P = 0.63). The strict neutropenic diet did have less fiber (P = 0.05) and vitamin C (P = 0.01). Thus, the regular diet appears safe, and possibly provides greater benefits, for pediatric patients with neutropenia.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Microbiological profile and nutritional quality of a regular diet compared to a neutropenic diet in a pediatric oncology unit

Maia

Cruz

Gregianin

2017

Pediatric Blood & Cancer

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“…Differences were mainly with including fruits that could be peeled by hand (13), or further excluding black pepper, or raw or unpasteurized dairy products from the diet (14). Multiple surveys have looked at the frequency of ND use in various institutions and inconsistencies between and within centers (3)(4)(5)(6)17).…”

Section: The Effect Of a Neutropenic Dietmentioning

confidence: 99%

“…), uncooked meats, and vegetables are commonly consumed. Multiple surveys have shown that the use of ND varies not only across cancer centers but also between physicians working within the same institution (3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Neutropenic Diet on Infection and Mortality Rates in Cancer Patients: A Meta-Analysis

Sonbol

Firwana

Diab

et al. 2015

Nutrition and Cancer

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Neutropenic diets (ND) are often prescribed to cancer patients aiming to reduce infection risk. The goal of this meta-analysis was to determine if ND indeed reduced the risk of infection and death in cancer patients compared to regular diets (RD). We identified studies in cancer patients that compared the effect of ND vs. RD on the risk of infections and mortality of any cause. The overall effect was calculated by use of a random effects model. Four studies were identified encompassing 918 patients. There was no difference in major infection or mortality rates between ND and RD groups. When analyzing for the overall composite outcome of any infection or fever, the hazard ratio was significantly higher in the ND arm (relative risk = 1.18, confidence interval: 1.05 to 1.34, P= 0.007). When the analysis was restricted to only the randomized trials, both groups had a comparable composite outcome. This meta-analysis shows no superiority with respect to mortality or infection of using a neutropenic diet in cancer patients. Larger studies are needed that study a broader range of nutritional issues, including the microbiome, in this patient population. Until then, it may be time to relax the restrictions of ND.

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“…Penjaga pesakit juga menyatakan nasihat pemakanan yang diberikan oleh ahli profesional kesihatan ada yang bercanggah sehingga mengelirukan mereka. Hasil kajian ini selari dengan laporan kajian lepas yang dikendalikan oleh Braun et al (2014) yang melibatkan seramai 557 orang pakar perunding onkologi kanak-kanak daripada 174 institut kanser kanak-kanak yang berdaftar dalam web Children's Oncology Group (COG). Kajian ini bertujuan untuk mengenalpasti amalan pelaksanaan diet neutropenik dan faktor yang mempengaruhi bagi tujuan penyeragaman pengurusan pemakanan dalam kalangan kanak-kanak kanser.…”

Section: Pengumpulan Dataunclassified

Beliefs on Nutritional Practices among Caregivers of Pediatric Leukemia Patients and Health Care Professionals in Kuala Lumpur Hospital – A Qualitative Study

Yusof

Manaf

Koon

et al. 2017

JSKM

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Kepercayaan terhadap amalan pemakanan oleh ibu bapa dan penjaga memainkan peranan penting dalam pengambilan pemakanan kanak-kanak leukemia. Namun kajian tempatan yang mengkaji amalan dan kepercayaan pemakanan dalam kalangan penjaga pesakit leukemia sangat terhad. Kajian ini bertujuan untuk mengkaji kepercayaan terhadap amalan pemakanan dalam kalangan penjaga kanak-kanak yang menghidap leukemia ahli profesional kesihatan di Institut Pediatrik Hospital Kuala Lumpur (IPHKL), Malaysia. Kajian secara kualitatif ini dijalankan bagi menilai kepercayaan dan amalan terhadap sesuatu makanan dalam kalangan penjaga pesakit leukemia kanak-kanak. Seramai 30 orang subjek yang terdiri daripada 10 orang ahli profesional kesihatan dan 20 orang penjaga pesakit telah ditemu bual menggunakan kaedah temu duga semi-struktur. Temu duga ini ditranskripkan dan dianalisa menggunakan perisian kualitatif ATLAS.ti. versi 7.5.6 yang seterusnya membentuk beberapa tema. Lima tema yang telah ditemui dalam kajian ini iaitu: (1) kepercayaan terhadap makanan yang mampu menyembuhkan kanser, (2) kepercayaan mengenai pengambilan susu dan daging, (3) kepercayaan makanan yang mengandungi pestisid,(4) kepercayaan terhadap makanan yang menyebabkan kegatalan, dan (5) sumber maklumat pemakanan dan pengetahuan pemakanan dalam kalangan penjaga. Kajian ini menunjukkan wujudnya kepercayaan terhadap amalan pemakanan tertentu dalam kalangan penjaga pesakit dan kumpulan profesional kesihatan. Maklumat daripada hasil kajian ini boleh memberikan perspektif mengenai kepercayaan terhadap amalan pemakanan tertentu dalam kalangan penjaga kanak-kanak leukemia dan kumpulan profesional kesihatan. Perkara ini penting kepada ahli profesional kesihatan terutamanya semasa merancang strategi untuk memberi pendidikan pemakanan kepada penjaga untuk memperbaiki status pemakanan pesakit.

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Significant inconsistency among pediatric oncologists in the use of the neutropenic diet

Abstract: The implementation of the neutropenic diet by pediatric oncologists remains quite variable even among those at the same institution.

Cited by 29 publications

References 10 publications

Microbiological profile and nutritional quality of a regular diet compared to a neutropenic diet in a pediatric oncology unit

Microbiological profile and nutritional quality of a regular diet compared to a neutropenic diet in a pediatric oncology unit

The Effect of a Neutropenic Diet on Infection and Mortality Rates in Cancer Patients: A Meta-Analysis

Beliefs on Nutritional Practices among Caregivers of Pediatric Leukemia Patients and Health Care Professionals in Kuala Lumpur Hospital – A Qualitative Study

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