my five yr old daughter has a rash in her pubic  area.  It started with a pimple and has spread over the whole outer area.  Took to pediatrician and he recommended neosporin and A&D ointment.  It hasnt helped, only worsened and shees complaining that it is VERY itchy.  Today we 1% hydrocortisone, I dont know what else to do.
Hi, Welcome to Chat Doctor, Its too difficult to suggest without having a lot at the rash. The possibilities are a severe diaper rash if she is using one which is not commonly done in this age and other more likely possibility Is a fungal infection. I would suggest you use plain clotrimazole cream TD's and you can see the response in 2 days time. Steroid is not recommended now. However, the best would be to consult a dermatologist and then consider trying this therapy because I'm just assuming the possibilities not confirming it which can be done by only seeing the lesion. Take care.