How are infections prevented in patients with multiple myeloma?

Updated: May 11, 2021
  • Author: Attaya Suvannasankha, MD; Chief Editor: Emmanuel C Besa, MD  more...
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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. [58]

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

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