Preventing infection in patients with malignant melanoma
Preventing infection
- offer people with myeloma the seasonal influenza vaccination
- consider extending the pneumococcal vaccination to people with myeloma who are under 65
- consider intravenous immunoglobulin replacement therapy for people who have hypogammaglobulinaemia and recurrent infections
- consider continuing aciclovir or equivalent antiviral prophylaxis after treatment with bortezomib or other proteasome inhibitors ends
- consider aciclovir or equivalent antiviral prophylaxis for people who are taking both immunomodulatory drugs and high-dose steroids
- consider testing for hepatitis B, hepatitis C and HIV before starting myeloma treatment.
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