Octenidine dihydrochloride, a modern antiseptic for skin, mucous membranes and wounds

N-O Hübner1, J Siebert, A Kramer

  • 1Institute of Hygiene and Environmental Medicine, Ernst Moritz Arndt University Greifswald, Greifswald, Germany. nhuebner@uni-greifswald.de

Insights

Octenidine dihydrochloride (octenidine) is a well-established antiseptic for skin, mucous membranes, and wounds. Extensive research confirms its efficacy and safety as an alternative to older antiseptics.

Area of Science:

  • Antimicrobial agents
  • Dermatology
  • Infection control

Background:

  • Octenidine dihydrochloride (octenidine) has been utilized for over two decades.
  • A substantial body of evidence supports its use in antisepsis.
  • It is recognized as a viable alternative to traditional antiseptics.

Purpose of the Study:

  • To review the existing literature and original data on octenidine.
  • To evaluate the efficacy, tolerance, and safety of octenidine.
  • To position octenidine as an alternative to older antiseptic agents.

Main Methods:

  • Comprehensive literature review.
  • Inclusion of in vitro and animal studies.
  • Analysis of clinical data from case reports and controlled trials.

Main Results:

  • Octenidine demonstrates established efficacy in various applications.
  • Extensive data supports its safety and tolerance profile.
  • Clinical experience confirms its utility in antisepsis.

Conclusions:

  • Octenidine is a proven antiseptic for skin, mucous membranes, and wounds.
  • It offers a reliable alternative to chlorhexidine, polyvidone-iodine, and triclosan.
  • The review consolidates current knowledge on octenidine's applications and benefits.

Related Concept Videos

Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Chemical Agents for Microbial Control01:27

Chemical Agents for Microbial Control

Chemicals play important roles in controlling microbial growth by targeting microbial structures and functions as sanitizers, antiseptics, disinfectants, and sterilants.Alcohols are commonly used sanitizers, effectively disrupting lipid membranes, which compromises cell integrity. They are also used as antiseptics and disinfectants due to their rapid action and versatility.Phenols and their derivatives phenolics , known for denaturing proteins and disrupting cell membranes, are particularly...
Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Ophthalmic Drug Delivery Systems01:23

Ophthalmic Drug Delivery Systems

Ophthalmic drug delivery faces major limitations due to poor absorption across the corneal membrane. This process is primarily driven by diffusion and is influenced by two main factors: the physicochemical properties of the drug and tear drainage. Most ophthalmic drugs, such as pilocarpine, epinephrine, atropine, and local anesthetics, are weak bases. They are typically formulated at an acidic pH to enhance chemical stability. However, this leads to high ionization, reducing their ability to...
Surface Membrane Barriers01:18

Surface Membrane Barriers

The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...