What instruction should a nurse give guardians to prevent diaper dermatitis?

Changing diapers as soon as they become soiled with feces is crucial in preventing diaper dermatitis. When feces are left against the skin, they can cause irritation and inflammation due to the moisture and the enzymatic activity of urine and stool. Immediate removal of soiled diapers minimizes the duration of exposure to irritants, significantly reducing the risk of skin breakdown and irritation.

It is also important to note that while some practices, like using creams or choosing certain types of diapers, can support skin health, they do not address the fundamental issue of keeping the skin clean and dry. For instance, applying cream after every change can be beneficial, but if the diaper is not changed promptly when soiled, the cream may not be sufficient to prevent dermatitis. Similarly, while cloth diapers may have benefits for some, using them exclusively does not inherently prevent diaper rash without regular changes. Finally, changing diapers once a day is inadequate, as frequent changes are necessary to maintain skin integrity and hygiene.