Bad diaper rash

My baby girl who currently 5 month plus has been like this since she 2 months old. I try inara soothie woodie, desitin blue and purple. Its just get worse. Seen PD, he only told me to put barrier cream. I afraid she get older, her butt will look like this forever.

Bad diaper rash
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After cleaned & cream applied, please let it air for awhile before putting diaper. It help lots & avoid using wet wipes