Primary prevention
A good daily nappy hygiene practice will reduce contact time with potential irritants.[13] Carers should be advised to:
Change nappies every 2 hours (or at least inspect for soiling every 2 hours) and more frequently in newborns and children with diarrhoea
Use a commercial cleansing wipe or water on cotton cloth to cleanse the nappy area; products with minimal additives should be used
Avoid excess detergents and friction
Have time without nappies
Avoid use of plastic underpants over nappies.
Secondary prevention
Continuation of good nappy-changing hygiene practices.[13]
Studies have favoured:[24]
cellulose-core disposable nappies over cloth
absorbent gelling material over cellulose-core nappies
breathable outer shell nappies over occlusive outer shell nappies, and
linings impregnated with formulations over plain linings.
Many of these individual studies were, however, open study design and therefore at risk of bias.
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