A neutropenic diet, also known as a low microbial diet, provides protection from bacteria and other harmful organisms found in certain foods and drinks. This diet is catered for people with a weakened immune system, as when the immune system is not working well, the body has a hard time protecting itself from bacteria.

During cancer treatment, particularly chemotherapy and radiation therapy, your immune system is often compromised, making it more susceptible to food-borne illnesses. It is important for you to observe food safety practices - basically steps taken during the handling, preparing and storage of food that reduces the risk of food-borne illness.

It is advisable for patients who are under pre-transplant chemotherapy and patients undergoing transplant to follow the neutropenic diet to reduce the risk of food contamination (as the neutrophil/ white blood cell count is significantly lower).

The following list provides tips on foods you should choose and those you should avoid. Please check with your doctor and/or dietitian if you have questions about the diet or safe food preparation.

General tips:

• All dairy products must be pasteurized, avoid soft cheeses
• All fresh fruits and vegetables must be well washed under running water
• All juices must be pasteurized
• No pre-cut vegetables and fruits; no salads
• No raw sprouts
• All meat, poultry, seafood, egg and tofu must be fully cooked
• No raw nuts
• All seasonings to be added during cooking, avoid all other garnishes
• No expired foods