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Updated: Apr 20, 2026

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Published on: March 14, 2025
Clinical approaches to skin cleansing of the diaper area: practice and challenges
Carrie C Coughlin1, Ilona J Frieden, Lawrence F Eichenfield
1Division of Dermatology, Department of Medicine, Washington University, St. Louis, Missouri.
Abstract:
Cleansing and care of the diaper area require special consideration to maintain barrier function of the skin in this area and repair the barrier when it is compromised. Diaper dermatitis occurs commonly; understanding and modification of predisposing factors are imperative for caregivers. In this paper, we review important factors in diaper area care, including skin pH, the local microbiome, irritant and allergic potential of contactants, and application of topical agents.
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