preventing infection in patients with malignant melanoma

Last reviewed 01/2018

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.