Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

Which treatment is effective for a monilial rash?

1. Topical antibiotics only

2. Anti-yeast treatments and moisture elimination

3. Oral steroids

4. Creams with high oil content

The correct answer is: Anti-yeast treatments and moisture elimination

The effectiveness of anti-yeast treatments and moisture elimination for a monilial rash, commonly known as a yeast infection, comes from the nature of the condition itself. Monilial rashes are caused by an overgrowth of yeast, typically Candida species, particularly in warm and moist environments. Anti-yeast treatments, which include topical antifungals like clotrimazole or miconazole, directly target and inhibit the growth of yeast. These medications are formulated specifically to disrupt the cell membrane of fungal organisms, leading to their death and thus alleviating the rash. Moisture elimination is equally critical in the management of a monilial rash. By keeping the affected area dry and reducing moisture, the conditions that allow yeast to thrive are minimized. This approach helps prevent the recurrence of the rash and supports the healing process. In contrast, while topical antibiotics might be useful for bacterial infections, they do not address fungal infections, making them ineffective for a monilial rash. Oral steroids can suppress the immune response, potentially allowing for worse fungal growth, and creams with high oil content may further trap moisture, exacerbating the problem rather than alleviating it. Thus, the combination of anti-yeast treatments and moisture management is