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Updated: Feb 24, 2026

Evaluation of Antimicrobial Activities of Nanoparticles and Nanostructured Surfaces In Vitro
Published on: April 21, 2023
Antimicrobial activity of octenidine against multidrug-resistant Gram-negative pathogens
R Alvarez-Marin1,2,3,4, M Aires-de-Sousa5, P Nordmann1,2,3,6
1Emerging Antibiotic Resistance Unit, Medical and Molecular Microbiology, Department of Medicine, Faculty of Science, University of Fribourg, rue Albert Gockel 3, 1700, Fribourg, Switzerland.
Abstract:
Multidrug-resistant (MR) Gram-negative (GN) pathogens pose a major and growing threat for healthcare systems, as therapy of infections is often limited due to the lack of available systemic antibiotics. Well-tolerated antiseptics, such as octenidine dihydrochloride (OCT), may be a very useful tool in infection control to reduce the dissemination of MRGN. This study aimed to investigate the bactericidal activity of OCT against international epidemic clones of MRGN. A set of five different species (Escherichia coli, Klebsiella pneumoniae, Enterobacter cloacae, Acinetobacter baumannii, and Pseudomonas aeruginosa) was studied to prove OCT efficacy without organic load, under "clean conditions" (0.3 g/L albumin) and under "dirty conditions" (3 g/L albumin + 3 mL/L defibrinated sheep blood), according to an official test norm (EN13727). We used five clonally unrelated isolates per species, including a susceptible wild-type strain, and four MRGN isolates, corresponding to either the 3MRGN or 4MRGN definition of multidrug resistance. A contact time of 1 min was fully effective for all isolates by using different OCT concentrations (0.01% and 0.05%), with a bacterial reduction factor of >5 log10 systematically observed. Growth kinetics were determined with two different wild-type strains (A. baumannii and K. pneumoniae), proving a time-dependent efficacy of OCT. These results highlight that OCT may be extremely useful to eradicate emerging highly resistant Gram-negative pathogens associated with nosocomial infections.
Insights
Octenidine dihydrochloride (OCT) effectively kills multidrug-resistant Gram-negative pathogens in vitro. This antiseptic shows potent bactericidal activity against emerging resistant strains, aiding infection control.
Area of Science:
- Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Multidrug-resistant Gram-negative (MRGN) pathogens present a significant global health challenge.
- Limited systemic antibiotic options necessitate novel infection control strategies.
- Octenidine dihydrochloride (OCT) is a well-tolerated antiseptic with potential for MRGN dissemination control.
Purpose of the Study:
- To evaluate the bactericidal efficacy of OCT against international epidemic clones of MRGN.
- To assess OCT's effectiveness under varying organic loads simulating clinical conditions.
- To determine the optimal concentration and contact time for OCT's antimicrobial action.
Main Methods:
- Testing OCT against five key MRGN species (E. coli, K. pneumoniae, E. cloacae, A. baumannii, P. aeruginosa) according to EN13727.
- Evaluating efficacy under 'clean' (low organic load) and 'dirty' (high organic load) conditions.
- Assessing bactericidal activity with 0.01% and 0.05% OCT concentrations and a 1-minute contact time.
Main Results:
- OCT demonstrated complete eradication (>5 log10 reduction) of all tested MRGN isolates within 1 minute.
- Efficacy was consistent across different species and MRGN resistance profiles (3MRGN and 4MRGN).
- Growth kinetics confirmed OCT's time-dependent bactericidal activity against wild-type strains.
Conclusions:
- OCT exhibits potent bactericidal activity against multidrug-resistant Gram-negative pathogens.
- Its effectiveness under diverse conditions suggests utility in reducing nosocomial infections.
- OCT represents a promising tool for combating emerging highly resistant bacterial threats.
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