This topic is about a new recommendation from Hollister regarding ostomy care, specifically focusing on cleaning the skin around the stoma, known as peristomal skin. The advice is to use only water for cleaning, avoiding any soap. Here's a summary of the experiences and tips shared by others in the community:

- Many ostomy nurses recommend using only water to clean the peristomal skin, and several people have followed this advice for years with positive results, such as healthy skin and fewer leaks.
- A typical cleaning routine involves removing the barrier, using an adhesive remover to get rid of any leftover glue, rinsing or wiping with warm water, drying thoroughly, and then applying a new barrier.
- If additional cleaning is necessary, sensitive-skin baby wipes or sterile saline can be used, but it's important to rinse with water afterward. For stubborn residue, some people let shampoo or a gentle soap briefly touch the area during a shower, followed by a thorough rinse.
- Soaps with moisturizers, fragrances, or residual films can interfere with the adhesion of the barrier. If soap is used, it should be a plain bar like Ivory or a mild liquid such as Dr. Bronner’s Peppermint Castile Soap, and it should be rinsed off completely.
- Some extra skin-care steps include using a hydrogen-peroxide spray after washing with water, soaking in a mixture of white vinegar and distilled water for ulcerations, and applying antifungal treatments for recurrent irritations.
- Shaving the hair around the stoma during changes can help with adhesion. This can be done with shaving cream, followed by rinsing and thorough drying.
- Many people find that using fewer products is beneficial, only adding powders, fillers, or barrier wipes when specific issues arise.
- Warming the wafer with a hair-dryer before application or wearing a belt on the first day can improve the seal, which is helpful for those working in hot conditions or with hernias.
- Showering or bathing without the appliance is common and can be beneficial. It's often done right after a natural output to minimize mess.
- Typical wear-time for barriers is 3 to 6 days, with leaks being rare when the skin is kept clean, dry, and free of products.
- Some of the brands and products mentioned include Hollister CeraPlus skin barriers, Hollister two-piece systems, ConvaTec systems, Stomahesive powder, and various adhesive remover wipes and sprays.