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Food safety

Chemotherapy can interfere with the body's natural defence against infections and may:

  • Reduce numbers of white blood cells (neutrophils) which normally protect us against food poisoning bacteria. 
  • Damage the gut lining which provides a barrier between bacteria and our blood stream.

If you get a food-related infection during cancer treatment, it may be more serious and take you longer to recover. This may delay or interfere with your treatment, so it's best to be careful and try to avoid infections.

Important points to remember: 

Wash your hands thoroughly.  Wash your hands in hot soapy water before and after handling food, and dry them using a clean towel or paper towel.

Keep the kitchen clean. Wash all surfaces, cutting boards and utensils with hot soapy water. Make sure tea towels, cleaning cloths, sponges and brushes are changed regularly.

Prepare and store raw and cooked food separately. Keep a separate chopping board for raw meats and fish. Always clean the board thoroughly after each use. Cover and store uncooked meat and fish at the bottom of the fridge.

Keep canned food clean. Wash the can and the can opener before using.

Check all 'use by' and 'best before' dates carefully. Avoid buying foods on their use by date, and do not eat them after this date.

Avoid damaged or mouldy foods and those in damaged containers.

When shopping, take chilled and frozen food home quickly to refrigerate or freeze.

Take extra care when buying take-aways and eating out. Try to buy food which is freshly cooked and from a clean space. Look for the food hygiene rating sticker in the window.

Store eggs in a cool, dry place, ideally in the fridge. Make sure the egg shells are clean before cracking. Cook eggs well and do not eat food containing uncooked eggs.

Check fridge and freezer temperatures regularly. Fridge temperatures should be 5°C or lower, and freezer temperatures below -18ºC.

Wash and scrub fruit and vegetables very well before preparation.

Cook food well, especially meat, poultry and fish products. Always follow the manufacturers' cooking instructions carefully. Check food is very hot throughout the dish, especially if using a microwave. A food thermometer can be useful.

Keep cold food cold and hot food hot. Eat hot food within two hours of cooking, and all cold foods within four hours of preparation, unless refrigerated.

Do not eat leftover food from another meal. Eat rice as soon as it is cooked and never reheat.

If freezing home cooked foods cool the food at room temperature within an hour of cooking and then freeze it. Avoid putting hot food in the fridge or freezer.

Reheat frozen food safely. Defrost frozen portions in the fridge overnight (consume within 24 hours of defrosting) or defrost in the microwave. Reheat thoroughly in the oven until piping hot throughout. Never refreeze products once thawed.

Keep pets away from the kitchen and your food.

You will need to make further changes to your diet if you are having a bone marrow transplant, high dose chemotherapy and/or an autograph stem cell transplant. A healthcare professional will let you know if this is the case.

Eating safely guidelines for adults at risk of neutropenia  & Eating safely guidelines for adults undergoing an allogeneic stem cell transplant