title: Antimicrobial action of Nitens mouthwash (cetyltrimethylammonium naproxenate) on multiple isolates of pharyngeal microbes: a controlled study against chlorhexidine, benzydamine, hexetidine, amoxicillin, amoxicillin-clavulanate, clarithromycin, and cefaclor.
abstract: BACKGROUND
  Acute oropharyngeal and respiratory tract infections are due to a wide spectrum of microorganisms. The aim of this study was to compare and evaluate the in vitro activity of four antiseptics (cetyltrimethylammonium naproxenate, chlorhexidine, benzydamine, hexetidine) to four antibiotics (amoxicillin, amoxicillin-clavulanate, clarithromycin, cefaclor) on strains of Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pyogenes and Streptococcus pneumoniae.
  
  
  METHODS
  Susceptibility tests were performed on 90, aerobic and anaerobic, bacterial strains, isolated from nasopharyngeal swabs and sputum. Minimum inhibitory concentrations (by microdilution) and minimum bactericidal concentrations were determined and compared.
  
  
  RESULTS
  Our selected panel of bacteria was highly susceptible to the antiseptics, particularly to chlorhexidine and naproxenate, even more so than two of the most frequently used antibiotics. Data were statistically significant (p < 0.005).
  
  
  CONCLUSIONS
  In view of their bactericidal and anti-inflammatory properties, these antiseptics may be effective in controlling the transitory colonization of the oral cavity by microbes that cause or worsen disease in patients with mild infections.
authors.affiliation: III Divisione di Medicina Generale e Sistematica, II Università degli Studi di Napoli, Napoli, Italy.
authors.forename: A P
authors.initials: AP
authors.lastname: Pilloni
authors.forename: G
authors.initials: G
authors.lastname: Buttini
authors.forename: D
authors.initials: D
authors.lastname: Giannarelli
authors.forename: B
authors.initials: B
authors.lastname: Giordano
authors.forename: M R
authors.initials: MR
authors.lastname: Iovene
authors.forename: F
authors.initials: F
authors.lastname: Montella
authors.forename: R
authors.initials: R
authors.lastname: di Salvo
authors.forename: R
authors.initials: R
authors.lastname: Colantuono
authors.forename: G
authors.initials: G
authors.lastname: Lalli
authors.forename: M A
authors.initials: MA
authors.lastname: Tufano
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D000891:Anti-Infective Agents, Local / Q000494:pharmacology*; D002593:Cetrimonium Compounds / Q000494:pharmacology*; D006801:Humans; D008826:Microbial Sensitivity Tests; D009055:Mouth / Q000382:microbiology; D009288:Naproxen / Q000031:analogs & derivatives* / Q000494:pharmacology*; D010608:Pharyngeal Diseases / Q000382:microbiology* / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local; D002593:Cetrimonium Compounds; C093881:cetyltrimethylammonium naproxenate; D009288:Naproxen