This is a strictly at home remedy, that I get bashed for all the time, but it keeps rashes away. BTW, I loathe any and all barrier creams, My rationale, is that, you wont need a barrier, if a patient is cleansed promptly and appropriately. I love neosporin, thin layer. I wash each of my children, under the faucet, warm flowing water, I dont use soaps, wipes, just good old warm water, let them air dry, then diaper. When i have a child develop a rash, I go to a no diaper routine, air dry at all time, a thin layer of neosporin, and that cozy warm water for up to 3 minutes. Always works. But, with a wound to that extent,,and because I'm sure you can't move those babies that much, I dont know what to think, but my heart goes out to the little one, and for you nurses, I know it hurts the heart to see suffering. I know i had a bedridden man, buttocks would never heal, well I went at him with the warm h20, I would, put a 40 gallon garbage bag under him, some towels on top of that, and just let that water flow over him, air dry completely, neosporin thinly, took 30 minutes, but I hate to see anyone with a bedsore, it worked. I hate barrier creams, they are always going to get soiled, and are HARD to wash off, cant they come up with some cream with neosporin in it, easy to wash off, that is moist on contact, but air dries, to a consistency that doesnt stick to the skin??????????