Nutrition and daily life

Kitchen hygiene: clean surfaces, safe food

The kitchen is where germs can reach food: boards, knives, sponges, towels and surfaces. This section explains how to keep the kitchen clean and safe during treatment.

Last updated: ~1 min read
A counter wiped with a clean cloth.
Figure 1.A clean surface — Kitchen hygiene: clean surfaces, safe food

01Short answer

Wipe surfaces with hot soapy water before and after cooking. Use separate boards for raw meat, fish and ready-to-eat food; wash the board and knife straight after raw meat. Change towels often and replace sponges regularly. Keep pets off kitchen surfaces. Keep rubbish covered and take it out often. If possible, let someone else handle raw meat during treatment.

02Simple explanation

Surfaces clean.

Separate boards.

Towels and sponges changed often.

Pets off the counter.

03Scientific explanation

Studies: kitchen sponges and towels are among the most bacteria-laden items in the home; drying them and changing them often lowers risk.

ESPEN: enough energy and protein matter for preventing weight and muscle loss in people with cancer, and nutritional status should be assessed regularly.

NCI: practical eating tips exist for treatment side effects such as nausea, taste changes and mouth sores.

04What happens in the body?

Dishes

Hot water and soap or a dishwasher; air-dry.

Three coloured boards in a rack.
Figure 2.Coloured boards — Kitchen hygiene: clean surfaces, safe food

Fridge and microwave

Wipe spills at once and clean the fridge regularly (“The refrigerator: the right temperature and the right place”).

An old and a new sponge.
Figure 3.Replace the sponge — Kitchen hygiene: clean surfaces, safe food

Dietitian

If you are losing weight, have no appetite or need a special diet, ask to see the hospital dietitian.

Food safety

Food-safety rules for neutropenia (see “Handwashing: the simplest protection” and “Eggs and dairy: safe choices”) apply at every stage.

05Nutrition: four steps

Assess, swap the risky, cook safely, eat regularly.

Assess — Weight and appetite.1AssessWeight and appetite.
Swap — A safe choice.2SwapA safe choice.
Cook — Hot throughout.3CookHot throughout.
Eat regularly — Small portions.4Eat regularlySmall portions.
StrengthEnergy.
ProteinFor muscle.
SafetyFood rules.

06Key points at a glance

TopicIn brief
DishesHot water and soap or a dishwasher; air-dry.
Fridge and microwaveWipe spills at once and clean the fridge regularly (“The refrigerator: the right temperature and the right place”).
DietitianIf you are losing weight, have no appetite or need a special diet, ask to see the hospital dietitian.
Food safetyFood-safety rules for neutropenia (see “Handwashing: the simplest protection” and “Eggs and dairy: safe choices”) apply at every stage.

07Key terms

Cross-contamination
Germs passing from one food or surface to another.
Disinfection
Killing germs with chemicals or heat.
Dietitian
A nutrition specialist.
Protein
A nutrient for repairing muscles and tissues.
Neutropenia
Low neutrophils.

08Key points

  • Wipe surfaces.
  • Separate boards.
  • Change towels often.
  • A diet is not a treatment.
  • Talk to a dietitian.

09Frequently asked questions

Do I need bleach?

Ordinary cleaning is usually enough; use disinfectants as directed.

Are wooden boards OK?

Yes, if well washed and dried; replace cracked boards.

Can a special diet cure leukemia?

No. Good nutrition helps you cope with treatment, but it does not cure.

10Questions for your doctor

Take these questions to your appointment. The ones you save are collected on the “My questions” page and stay on this device only.

  1. Do I need bleach?

  2. Are wooden boards OK?

  3. Can a special diet cure leukemia?

My questions

12Sources

  1. National Cancer Institute. Eating Hints: Before, During, and After Cancer Treatment
  2. ESPEN. ESPEN practical guideline: Clinical Nutrition in cancer (2021)
  3. Leukemia & Lymphoma Society. Food and Nutrition
  4. World Health Organization. Healthy diet fact sheet
  5. Centers for Disease Control and Prevention (CDC). Safer Food Choices for People With Weakened Immune Systems
  6. Journal of Clinical Oncology, 2022. Exercise, Diet, and Weight Management During Cancer Treatment: ASCO Guideline
  7. Medicine & Science in Sports & Exercise, 2019. Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable
  8. Cochrane Database of Systematic Reviews, 2019. Aerobic physical exercise for adult patients with haematological malignancies
  9. National Cancer Institute. Physical Activity and Cancer
  10. Memorial Sloan Kettering Cancer Center. About Herbs, Botanicals & Other Products
Medical disclaimerThis information is for educational purposes only and does not replace medical advice.
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