{
  "$schema": "./source-registry.schema.json",
  "title": "Octenidine.org Source Registry",
  "publisher": "Octenidine.org",
  "description": "A public data copy of the sources Octenidine.org uses to keep octenidine dihydrochloride reference material accurate, bounded, and useful.",
  "generatedAt": "2026-05-22",
  "canonicalData": "Octenidine.org maintained registry used by the website",
  "recordCount": 23,
  "tierDefinitions": [
    {
      "tier": "tier_1_identity_regulatory_safety",
      "label": "Tier 1: identity, regulatory, and safety sources",
      "use": "Official identity, regulator, label, and safety facts."
    },
    {
      "tier": "tier_2_evidence_synthesis_guideline",
      "label": "Tier 2: evidence syntheses and guidelines",
      "use": "Broad clinical or evidence context, including systematic reviews, guidelines, health technology reports, and Cochrane reviews."
    },
    {
      "tier": "tier_3_primary_literature",
      "label": "Tier 3: primary literature",
      "use": "Exact study findings from trials, microbiology papers, analytical studies, in vitro work, ex vivo work, or animal studies."
    },
    {
      "tier": "tier_4_product_supplier_document",
      "label": "Tier 4: product and supplier documents",
      "use": "Product-specific facts such as manufacturer pages, supplier documents, safety data sheets, package leaflets, and instructions for use."
    },
    {
      "tier": "tier_5_context_only",
      "label": "Tier 5: context only",
      "use": "Search leads and background context. Article claims belong with reviewed records, labels, regulators, or papers rather than general discovery pages."
    }
  ],
  "useForDefinitions": [
    {
      "useFor": "chemical-identity",
      "meaning": "Names, synonyms, identifiers, structure, formula, and official substance record context."
    },
    {
      "useFor": "regulatory-context",
      "meaning": "Regulatory terminology, official status pages, hazard communication, label concepts, or jurisdiction-specific context when the source itself supports the statement."
    },
    {
      "useFor": "safety-context",
      "meaning": "Safety, exposure, warnings, poison-control routing, patient questions, or adverse-event context within the source limits."
    },
    {
      "useFor": "clinical-evidence",
      "meaning": "Clinical evidence summaries, trial context, outcome limits, or evidence gaps in the population and setting studied."
    },
    {
      "useFor": "microbiology",
      "meaning": "Antimicrobial activity, susceptibility, mechanism, biofilm, membrane, or laboratory-model context with study limits retained."
    },
    {
      "useFor": "formulation-context",
      "meaning": "Formulation, co-ingredient, handling, safety data sheet, or document-structure context when supported by the source."
    },
    {
      "useFor": "search-discovery",
      "meaning": "Discovery routes that help find stronger records. These do not carry article claims by themselves."
    }
  ],
  "dateFields": {
    "lastChecked": "Date this registry record was last reviewed by Octenidine.org.",
    "reviewCadenceMonths": "Expected interval, in months, before the record receives another review.",
    "nextReviewDue": "Calculated from lastChecked plus reviewCadenceMonths."
  },
  "recordGuidance": {
    "useFor": "Topics this record can help support when the article claim stays within the source limits.",
    "notFor": "Claims or tasks this record should not be used to support.",
    "citationNote": "Short note on how the record may be cited or interpreted.",
    "editorialNotes": "Additional public-safe context where a record needs a careful reading."
  },
  "sources": [
    {
      "id": "pubchem-octenidine-hydrochloride",
      "title": "Octenidine Hydrochloride, CID 51166",
      "publisher": "PubChem, National Library of Medicine",
      "url": "https://pubchem.ncbi.nlm.nih.gov/compound/Octenidine-Hydrochloride",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official chemical substance record",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-06",
      "useFor": [
        "chemical-identity",
        "search-discovery"
      ],
      "notFor": [
        "clinical effectiveness claims",
        "product-specific label instructions",
        "jurisdiction-specific approval claims"
      ],
      "citationNote": "Supports names, identifiers, structure, formula, synonyms, and links to other official substance records.",
      "editorialNotes": [
        "PubChem brings together data from multiple sources; high-risk regulatory or safety details should be checked against the linked authority."
      ]
    },
    {
      "id": "fda-gsrs-u84956nu4b",
      "title": "OCTENIDINE HYDROCHLORIDE, UNII U84956NU4B",
      "publisher": "U.S. Food and Drug Administration Global Substance Registration System",
      "url": "https://precision.fda.gov/uniisearch/srs/unii/u84956nu4b",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official substance identity record",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-06",
      "useFor": [
        "chemical-identity",
        "regulatory-context"
      ],
      "notFor": [
        "FDA approval claims",
        "clinical benefit claims",
        "consumer use instructions"
      ],
      "citationNote": "Supports UNII, preferred substance name, formula, and synonym mapping. The GSRS page states that UNII availability does not imply regulatory review or approval.",
      "editorialNotes": []
    },
    {
      "id": "echa-substance-100068035",
      "title": "Octenidine dihydrochloride substance information",
      "publisher": "European Chemicals Agency",
      "url": "https://chem.echa.europa.eu/100.068.035",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official chemical substance information",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 6,
      "nextReviewDue": "2026-11-06",
      "useFor": [
        "chemical-identity",
        "regulatory-context",
        "safety-context"
      ],
      "notFor": [
        "human clinical effectiveness",
        "medical product authorization",
        "finished-product directions"
      ],
      "citationNote": "Supports EU chemical identity, EC/CAS linkage, and chemical regulatory context when the exact page supports the statement.",
      "editorialNotes": []
    },
    {
      "id": "ema-mrl-octenidine-dihydrochloride",
      "title": "Octenidine dihydrochloride maximum residue limit",
      "publisher": "European Medicines Agency",
      "url": "https://www.ema.europa.eu/en/medicines/veterinary/mrl/octenidine-dihydrochloride-maximum-residue-limit",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official veterinary regulatory assessment page",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 6,
      "nextReviewDue": "2026-11-06",
      "useFor": [
        "regulatory-context",
        "safety-context"
      ],
      "notFor": [
        "human antiseptic approval claims",
        "consumer treatment guidance",
        "general efficacy claims"
      ],
      "citationNote": "Supports the EMA veterinary maximum-residue-limit context and related regulatory history.",
      "editorialNotes": []
    },
    {
      "id": "ema-orphan-eu310755",
      "title": "EU/3/10/755 orphan designation for prevention of late-onset sepsis in premature infants",
      "publisher": "European Medicines Agency",
      "url": "https://www.ema.europa.eu/en/medicines/human/orphan-designations/eu310755",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official orphan designation page",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 6,
      "nextReviewDue": "2026-11-06",
      "useFor": [
        "regulatory-context"
      ],
      "notFor": [
        "approval or authorization claims",
        "neonatal treatment guidance",
        "evidence of clinical effectiveness"
      ],
      "citationNote": "Supports the narrow orphan-designation history and the EMA page's own development-stage language.",
      "editorialNotes": [
        "Orphan designation is not marketing authorization and should not be read as approval for use."
      ]
    },
    {
      "id": "ncbi-bookshelf-antiseptic-cleansers-wounds",
      "title": "Antimicrobial or Antiseptic Cleansers for Wounds",
      "publisher": "NCBI Bookshelf",
      "url": "https://www.ncbi.nlm.nih.gov/books/NBK595337/",
      "tier": "tier_2_evidence_synthesis_guideline",
      "sourceType": "health technology evidence report",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 6,
      "nextReviewDue": "2026-11-06",
      "useFor": [
        "clinical-evidence",
        "safety-context"
      ],
      "notFor": [
        "chemical identity",
        "product label instructions",
        "claims outside wound-cleanser evidence reviewed in the report"
      ],
      "citationNote": "Supports cautious wound-care evidence summaries and limitations, including when evidence is mixed or not statistically significant.",
      "editorialNotes": []
    },
    {
      "id": "pmc-clinical-evidence-review-2023",
      "title": "Clinical Evidence for the Use of Octenidine Dihydrochloride to Prevent Healthcare-Associated Infections and Decrease Staphylococcus aureus Carriage or Transmission",
      "publisher": "PubMed Central",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10145019/",
      "tier": "tier_2_evidence_synthesis_guideline",
      "sourceType": "peer-reviewed narrative review",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 6,
      "nextReviewDue": "2026-11-06",
      "useFor": [
        "clinical-evidence",
        "safety-context"
      ],
      "notFor": [
        "clinical recommendations",
        "product substitution guidance",
        "claims outside the reviewed clinical settings"
      ],
      "citationNote": "Supports clinical-evidence summaries and discussion of evidence gaps while preserving the review's limitations.",
      "editorialNotes": []
    },
    {
      "id": "pmc-microbicidal-activity-1985",
      "title": "Microbicidal activity of octenidine hydrochloride, a new alkanediylbis[pyridine] germicidal agent",
      "publisher": "Antimicrobial Agents and Chemotherapy / PubMed Central",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC180329/",
      "tier": "tier_3_primary_literature",
      "sourceType": "primary microbiology study",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-06",
      "useFor": [
        "microbiology"
      ],
      "notFor": [
        "modern clinical effectiveness claims",
        "human treatment instructions",
        "finished-product label claims"
      ],
      "citationNote": "Supports historical and microbiology context when in vitro or model limits remain clear.",
      "editorialNotes": []
    },
    {
      "id": "pmc-chlorhexidine-octenidine-susceptibility-2022",
      "title": "Chlorhexidine and octenidine susceptibility of bacterial isolates from clinical samples in a three-armed cluster randomised decolonisation trial",
      "publisher": "PubMed Central",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9749986/",
      "tier": "tier_3_primary_literature",
      "sourceType": "primary clinical microbiology study",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-06",
      "useFor": [
        "clinical-evidence",
        "microbiology"
      ],
      "notFor": [
        "site-wide comparative superiority claims",
        "consumer instructions",
        "claims beyond susceptibility outcomes and study context"
      ],
      "citationNote": "Supports susceptibility and study-context discussion when design and limitations are described.",
      "editorialNotes": []
    },
    {
      "id": "cochrane-wound-cleansing-venous-leg-ulcers",
      "title": "Wound cleansing for treating venous leg ulcers",
      "publisher": "Cochrane",
      "url": "https://www.cochrane.org/evidence/CD011675_does-cleaning-venous-leg-ulcers-help-them-heal",
      "tier": "tier_2_evidence_synthesis_guideline",
      "sourceType": "Cochrane evidence synthesis",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 6,
      "nextReviewDue": "2026-11-07",
      "useFor": [
        "clinical-evidence",
        "safety-context"
      ],
      "notFor": [
        "wound-care instructions",
        "product-specific label claims",
        "claims outside venous leg ulcer cleansing evidence"
      ],
      "citationNote": "Supports cautious venous leg ulcer wound-cleansing evidence limits and uncertainty language.",
      "editorialNotes": []
    },
    {
      "id": "mdpi-antiseptic-agents-chronic-wounds-2022",
      "title": "Antiseptic Agents for Chronic Wounds: A Systematic Review",
      "publisher": "Antibiotics / MDPI",
      "url": "https://www.mdpi.com/2079-6382/11/3/350",
      "tier": "tier_2_evidence_synthesis_guideline",
      "sourceType": "systematic review",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 6,
      "nextReviewDue": "2026-11-07",
      "useFor": [
        "clinical-evidence",
        "safety-context"
      ],
      "notFor": [
        "treatment instructions",
        "product rankings",
        "claims outside chronic-wound antiseptic evidence"
      ],
      "citationNote": "Supports chronic-wound antiseptic evidence summaries when octenidine limitations and comparator details stay visible.",
      "editorialNotes": []
    },
    {
      "id": "pubmed-vanscheidt-octenidine-venous-leg-ulcers-2012",
      "title": "Effectiveness and tissue compatibility of a 12-week treatment of chronic venous leg ulcers with an octenidine based antiseptic",
      "publisher": "International Wound Journal / PubMed",
      "url": "https://pubmed.ncbi.nlm.nih.gov/22074592/",
      "tier": "tier_3_primary_literature",
      "sourceType": "primary randomized controlled trial record",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-07",
      "useFor": [
        "clinical-evidence",
        "safety-context"
      ],
      "notFor": [
        "general wound-care recommendations",
        "claims about octenidine dihydrochloride alone",
        "claims outside chronic venous leg ulcers and the studied product context"
      ],
      "citationNote": "Supports exact venous leg ulcer study context when formulation, comparator, and outcome limits are retained.",
      "editorialNotes": []
    },
    {
      "id": "sciencedirect-malanovic-octenidine-mechanism-2020",
      "title": "Octenidine: Novel insights into the detailed killing mechanism of Gram-negative bacteria at a cellular and molecular level",
      "publisher": "International Journal of Antimicrobial Agents / PubMed",
      "url": "https://pubmed.ncbi.nlm.nih.gov/32853670/",
      "tier": "tier_3_primary_literature",
      "sourceType": "primary mechanism study",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-07",
      "useFor": [
        "microbiology"
      ],
      "notFor": [
        "patient outcome claims",
        "clinical effectiveness claims",
        "finished-product label instructions"
      ],
      "citationNote": "Supports mechanism language for E. coli and model membrane systems when in vitro limits remain explicit.",
      "editorialNotes": []
    },
    {
      "id": "pubmed-rzycki-octenidine-chlorhexidine-membranes-2021",
      "title": "Unraveling the mechanism of octenidine and chlorhexidine on membranes: Does electrostatics matter?",
      "publisher": "Biophysical Journal / PubMed",
      "url": "https://pubmed.ncbi.nlm.nih.gov/34214528/",
      "tier": "tier_3_primary_literature",
      "sourceType": "primary membrane biophysics study",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-07",
      "useFor": [
        "microbiology"
      ],
      "notFor": [
        "clinical superiority claims",
        "patient outcome claims",
        "broad resistance or safety conclusions"
      ],
      "citationNote": "Supports model-membrane mechanism discussion and cautions against oversimplified electrostatic explanations.",
      "editorialNotes": []
    },
    {
      "id": "osha-hazcom-appendix-d-sds",
      "title": "APPENDIX D TO §1910.1200 - SAFETY DATA SHEETS",
      "publisher": "Occupational Safety and Health Administration",
      "url": "https://www.osha.gov/hazcom/appendix-d",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official hazard communication standard appendix",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 6,
      "nextReviewDue": "2026-11-07",
      "useFor": [
        "regulatory-context",
        "safety-context"
      ],
      "notFor": [
        "clinical safety claims",
        "supplier quality claims",
        "non-U.S. legal advice or workplace compliance advice"
      ],
      "citationNote": "Supports U.S. SDS format and section-structure discussion for hazard communication context.",
      "editorialNotes": []
    },
    {
      "id": "medlineplus-evaluating-health-information",
      "title": "Evaluating Health Information",
      "publisher": "MedlinePlus / National Library of Medicine",
      "url": "https://medlineplus.gov/evaluatinghealthinformation.html",
      "tier": "tier_5_context_only",
      "sourceType": "official consumer health information guidance",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-07",
      "useFor": [
        "safety-context",
        "search-discovery"
      ],
      "notFor": [
        "octenidine-specific clinical claims",
        "product label instructions",
        "regulatory status claims"
      ],
      "citationNote": "Supports consumer guidance on checking source ownership, purpose, evidence, review, and update dates.",
      "editorialNotes": []
    },
    {
      "id": "fda-otc-drug-facts-label",
      "title": "The Over-the-Counter Drug Facts Label",
      "publisher": "U.S. Food and Drug Administration",
      "url": "https://www.fda.gov/drugs/understanding-over-counter-medicines/over-counter-drug-facts-label",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official consumer product-label guidance",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-07",
      "useFor": [
        "safety-context",
        "regulatory-context"
      ],
      "notFor": [
        "claims that octenidine products are U.S. OTC drugs",
        "product-specific use instructions",
        "clinical effectiveness claims"
      ],
      "citationNote": "Supports general U.S. OTC Drug Facts label concepts such as active ingredient, warnings, directions, and other information.",
      "editorialNotes": []
    },
    {
      "id": "hrsa-poison-help-calling",
      "title": "Calling Poison Help",
      "publisher": "Health Resources and Services Administration",
      "url": "https://poisonhelp.hrsa.gov/faq/calling-poison-help",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official U.S. poison-control public guidance",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 6,
      "nextReviewDue": "2026-11-07",
      "useFor": [
        "safety-context"
      ],
      "notFor": [
        "non-U.S. emergency routing",
        "product-specific treatment instructions",
        "clinical safety claims for routine use"
      ],
      "citationNote": "Supports U.S.-specific poison-help routing and information to have ready during a poison-center call.",
      "editorialNotes": []
    },
    {
      "id": "medlineplus-talking-with-your-doctor",
      "title": "Talking With Your Doctor",
      "publisher": "MedlinePlus / National Library of Medicine",
      "url": "https://medlineplus.gov/talkingwithyourdoctor.html",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official patient communication guidance",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-07",
      "useFor": [
        "safety-context"
      ],
      "notFor": [
        "octenidine-specific clinical claims",
        "product-specific use instructions",
        "emergency exposure management"
      ],
      "citationNote": "Supports patient preparation, question lists, note-taking, and follow-up communication guidance.",
      "editorialNotes": []
    },
    {
      "id": "fda-topical-antiseptic-products",
      "title": "Topical Antiseptic Products: Hand Sanitizers and Antibacterial Soaps",
      "publisher": "U.S. Food and Drug Administration",
      "url": "https://www.fda.gov/drugs/information-drug-class/topical-antiseptic-products-hand-sanitizers-and-antibacterial-soaps",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official topical antiseptic product class page",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-07",
      "useFor": [
        "safety-context",
        "regulatory-context"
      ],
      "notFor": [
        "octenidine-specific clinical claims",
        "finished-product directions",
        "claims outside the product and jurisdiction named by the source"
      ],
      "citationNote": "Supports general topical antiseptic product-category context while keeping product-specific claims separate.",
      "editorialNotes": []
    },
    {
      "id": "fda-drugs-glossary-terms",
      "title": "Drugs@FDA Glossary of Terms",
      "publisher": "U.S. Food and Drug Administration",
      "url": "https://www.fda.gov/drugs/drug-approvals-and-databases/drugsfda-glossary-terms",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official drug-label and approval terminology glossary",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-07",
      "useFor": [
        "regulatory-context",
        "safety-context"
      ],
      "notFor": [
        "octenidine-specific clinical claims",
        "product-specific label instructions",
        "non-U.S. regulatory conclusions"
      ],
      "citationNote": "Supports general U.S. drug-label and approval terminology when exact product claims are kept separate.",
      "editorialNotes": []
    },
    {
      "id": "fda-off-label-use-approved-drugs",
      "title": "Understanding Unapproved Use of Approved Drugs",
      "publisher": "U.S. Food and Drug Administration",
      "url": "https://www.fda.gov/patients/learn-about-expanded-access-and-other-treatment-options/understanding-unapproved-use-approved-drugs-label",
      "tier": "tier_1_identity_regulatory_safety",
      "sourceType": "official off-label use explainer",
      "lastChecked": "2026-05-07",
      "reviewCadenceMonths": 12,
      "nextReviewDue": "2027-05-07",
      "useFor": [
        "regulatory-context",
        "safety-context"
      ],
      "notFor": [
        "octenidine-specific product advice",
        "clinical recommendations",
        "non-U.S. regulatory conclusions"
      ],
      "citationNote": "Supports general off-label-use terminology and the distinction between approved labeling and other uses.",
      "editorialNotes": []
    },
    {
      "id": "pubmed-octenidine-search",
      "title": "PubMed search: octenidine dihydrochloride",
      "publisher": "National Library of Medicine",
      "url": "https://pubmed.ncbi.nlm.nih.gov/?term=octenidine+dihydrochloride",
      "tier": "tier_5_context_only",
      "sourceType": "literature discovery search",
      "lastChecked": "2026-05-06",
      "reviewCadenceMonths": 3,
      "nextReviewDue": "2026-08-06",
      "useFor": [
        "search-discovery"
      ],
      "notFor": [
        "article claims without opening and reviewing individual records",
        "evidence grading",
        "regulatory claims"
      ],
      "citationNote": "Provides a literature discovery route; claim support belongs with the individual reviewed articles rather than the search page.",
      "editorialNotes": []
    }
  ]
}
