What should I do about infections during Breast Cancer treatment

Managing Infections During Breast Cancer Treatment

Infections are an important concern during breast cancer treatment because certain therapies can temporarily weaken your immune system. Here's what you should know:

Why Infections Are a Risk

Many breast cancer treatments—particularly chemotherapy and some targeted therapies—can lower your white blood cell count (the cells that fight infection). This makes your body less able to defend against bacteria, viruses, and fungi. According to the NCCN Guidelines for Patients: Metastatic Breast Cancer, managing side effects and maintaining good health during treatment is a critical part of your care plan.

What You Should Do

Prevention is your first line of defense:

• Wash your hands frequently, especially before eating and after using the bathroom
• Avoid people who are sick
• Stay up-to-date on recommended vaccinations (ask your care team which ones are safe during treatment)
• Practice good hygiene with any wounds or cuts
• Avoid raw or undercooked foods
• Keep your living space clean

Watch for warning signs and report them immediately:

• Fever (100.4°F or higher)
• Chills or sweating
• Sore throat or mouth sores
• Cough or shortness of breath
• Burning during urination
• Unusual redness, warmth, or drainage from any wound
• Any signs of infection that concern you

During treatment, tell your care team about:

• Any fever or signs of infection right away—don't wait for your next appointment
• Any new symptoms you notice
• Any medications you're taking, including over-the-counter drugs

Questions to Ask Your Oncology Team

1. Which of my treatments might increase infection risk, and when is my risk highest?
2. What specific symptoms should I report immediately versus at my next visit?
3. Do I need any special precautions or preventive medications during treatment?
4. What's the best way to reach you if I develop a fever or signs of infection?
5. Are there any activities I should avoid during treatment to reduce infection risk?

Key Point from NCCN Guidelines

The NCCN Guidelines emphasize that you should seek good routine medical care and tell your care team about any symptoms you notice. Your primary care physician should also stay informed about your cancer treatment, as they can help monitor your overall health.

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This information is for educational purposes only. Always consult your healthcare team for personalized medical advice and decisions.