Microbiome is a Macro Concern

Microbiome is a Macro Concern

Protecting Kids’ Skin Microbiomes: What Parents Should Know

Author: Dabble & Dollop • Last updated: September 30, 2025

Key takeaways

  • The skin microbiome—billions of microbes living on the skin surface—supports the skin barrier and overall skin health.[1][8]
  • Children’s skin performs best near a slightly acidic pH (~4.5–5.5); repeated use of alkaline soaps (often pH 9–10) can impair barrier function and disturb microbial balance.[1][2][3]
  • Eczema (atopic dermatitis) affects roughly 10–20% of children globally, and U.S. prevalence has risen over recent decades.[4][5][6]
  • Microbiome-friendly” usually means no meaningful disruption to microbial diversity in standardized tests; there is no single “perfect” microbiome profile defined yet.[7][8]
  • Pediatric guidance favors simple routines: a gentle, low-pH cleanser, moisturizer, and sunscreen; avoid unnecessary adult-strength actives for kids unless advised by a clinician.[9][10]

Definitions

  • Skin microbiome: the community of bacteria, fungi, and other microbes that live on skin and help defend against pathogens and inflammation.[8]
  • Skin barrier: the outer layers of skin (including the stratum corneum) plus chemical/immune/microbial defenses that keep water in and irritants out; it works best at a slightly acidic pH.[1][2]
  • Dysbiosis: disrupted microbial balance/diversity associated with barrier dysfunction and conditions like eczema.[8]
  • pH: acidity/alkalinity scale. Skin is naturally acidic (~4–6); many traditional “true soaps” are alkaline (often pH 9–10).[3]

Why the microbiome matters for kids

When the skin barrier is dry or compromised, tiny fissures make it easier for irritants and microbes to aggravate skin, contributing to blemishes and eczema-like conditions. Evidence shows that maintaining an acidic skin pH supports barrier integrity and resident flora, whereas alkaline routines weaken both over time.[1][2]

There’s also cultural pressure for kids to try adult products (e.g., strong exfoliants/retinoids). Pediatric and dermatology sources caution that these are unnecessary and potentially irritating for developing skin; a simple, gentle routine is preferred.[9][10]

Interpreting “microbiome-friendly” claims

Third-party programs (e.g., standards focused on infant skin) typically assess whether a formula does not reduce microbial diversity or hinder growth under test conditions.[7] This is useful for demonstrating “no disruption”, but the science has not defined a single ideal microbiome for every child. Reviews emphasize inter-individual variability and the need for standardized methods.[8]

What actually helps children’s skin

  • Use pH-balanced (≈5–5.5), gentle cleansers. Skin thrives in a slightly acidic environment; repeated alkaline exposure impairs barrier homeostasis and increases susceptibility to irritants such as SLS.[2][11]
  • Moisturize daily with barrier-supporting lotions/creams.
  • Avoid routine adult-strength actives (e.g., high-strength acids, retinoids) unless directed by a clinician.[9][10]
  • Understand medications’ tradeoffs: topical antibiotics or benzoyl peroxide can alter microbial communities (sometimes necessary and appropriate for specific conditions).[17][18]

Where eczema fits in

Eczema burdens many families: estimates suggest ~10–20% of children are affected globally, and U.S. prevalence increased from ~8% (1997) to ~13% (2018).[4][5][6] For eczema-prone children, simpler, pH-smart routines can reduce irritation triggers. In some contexts, even water-only washing has performed no worse than cleanser during remission (seasonal/specific settings).[21]

Our point of view

To us, “microbiome-friendly” should at minimum indicate gentleness, acidic pH near skin’s natural level, and no material disruption in standardized tests. Until a universal clinical target exists, we will continue following peer-reviewed science and evolving with credible evidence.


References

  1. Lambers H. Natural skin surface pH is on average below 5… Int J Cosmet Sci (2006). link
  2. Kim E. The alkaline pH-adapted skin barrier is disrupted… Exp Dermatol (2009). link
  3. Tarun J. Evaluation of pH of Bathing Soaps and Shampoos… Indian J Dermatol (2014). link
  4. National Eczema Association. Eczema Facts. link
  5. Choragudi S, Yosipovitch G. Trends in Eczema Among U.S. Children, 1997–2018. JAMA Dermatology (2023). link
  6. Langan SM, et al. Global trends in eczema prevalence. Clin Exp Allergy (2023). link
  7. MyMicrobiome—Infant Skin Standard 20.10 (certification overview). link
  8. Ruuskanen MO, et al. Towards standardized, reproducible skin-microbiome research (review). (2022). link
  9. AAP HealthyChildren.org. Trendy Skin Care for Tweens & Teens—Is It Safe? (2025). link
  10. UCLA Health. Kids into skincare—dermatologists’ advice (2024). link
  11. Telofski LS, et al. The Infant Skin Barrier (detergents/irritancy context). (2012). link
  12. SanMiguel AJ, et al. Topical antimicrobials shift cutaneous communities. (2017). link
  13. Zhou L, et al. Influence of benzoyl peroxide on skin microbiota. (2022). link
  14. Katoh Y, et al. Skin care by washing with water is not inferior… (children with AD in remission; seasonal). (2024). link
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