How are infections prevented in patients with multiple myeloma?

Updated: Aug 14, 2019
  • Author: Sara J Grethlein, MD; Chief Editor: Emmanuel C Besa, MD  more...
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Answer

Answer

Infection

Measures to prevent infection include the following:

  • Pneumococcal infections are common in patients with multiple myeloma, especially during the first 3 mo of treatment; vaccination should be completed at the time of diagnosis to minimize preventable illness

  • Antiviral prophylaxis for herpes infections is recommended for patients receiving bortezomib; low-dose acyclovir appears to be sufficient [54]

  • Antiviral, antiparasitic (Pneumocystis jiroveci pneumonia [PCP]), and antifungal prophylaxis should be considered for patients receiving high-dose steroid regimens


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