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Miramistin was developed within a framework of the Soviet Union Cold War Space Program. It is available for clinical use in several prior Soviet bloc countries, but barely known outside of these countries and there is almost no mention of miramistin in the English literature. However, considering emerging antimicrobial resistance, the significant potential of miramistin justifies its re-evaluation for use in other geographical areas and conditions. The review consists of two parts: (i) a review of the existing literature on miramistin in English, Russian and Ukrainian languages; (ii) a summary of most commonly used antiseptics as comparators of miramistin. The oral LD50 was 1200\u00a0mg\/kg, 1000\u00a0mg\/kg and 100\u00a0g\/L in rats, mice and fish, respectively. Based on the results of the review, we suggest possible applications of miramistin and potential benefits over currently used agents. Miramistin offers a novel, low toxicity antiseptic with many potential clinical uses that need better study which could address some of the negative impact of antimicrobial, antiseptic and disinfectant resistance.<\/jats:p>","DOI":"10.1093\/femsre\/fuaa012","type":"journal-article","created":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T23:22:31Z","timestamp":1588893751000},"page":"399-417","source":"Crossref","is-referenced-by-count":38,"title":["The antiseptic Miramistin: a review of its comparative in vitro and clinical activity"],"prefix":"10.1093","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1035-5422","authenticated-orcid":false,"given":"Ali","family":"Osmanov","sequence":"first","affiliation":[{"name":"Next Level Diagnostics, Mikhailovsky lane 20,7, Kiev 01001, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zara","family":"Farooq","sequence":"additional","affiliation":[{"name":"School of Biological and Chemical Sciences, Queen Mary University of London, Mile End Road, London E1 4NS, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm D","family":"Richardson","sequence":"additional","affiliation":[{"name":"Mycology Reference Centre Manchester, University Hospital of South Manchester, Manchester University NHS Foundation Trust, Manchester M23 9LT, UK"},{"name":"Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W","family":"Denning","sequence":"additional","affiliation":[{"name":"Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK"},{"name":"National Aspergillosis Centre, University Hospital of South Manchester, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Wythenshawe Hospital Southmoor Road, Wythenshawe, Manchester M23 9LT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,5,9]]},"reference":[{"key":"2021041602151279900_bib1","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1111\/myc.12699","article-title":"In vitro efficacy of disinfectants utilised for skin decolonisation and environmental decontamination during a hospital outbreak with Candida auris","volume":"60","author":"Abdolrasouli","year":"2017","journal-title":"Mycoses"},{"key":"2021041602151279900_bib2","first-page":"383","article-title":"Influence of poly-N-acetylglucosamine in the extracellular matrix on N-chlorotaurine mediated killing of Staphylococcus epidermidis","volume":"37","author":"Ammann","year":"2014","journal-title":"New Microbiol"},{"key":"2021041602151279900_bib4","first-page":"7","article-title":"[Minimum inhibitory concentrations of various antifungal agents against Basidiomycetes clinical isolates]","volume":"47","author":"Arzumanian","year":"2002","journal-title":"Antibiot i khimioterapii${\\frown}$ a = Antibiot chemoterapy [sic] \/ Minist meditsinsko\u012d i Mikrobiol promyshlennosti SSSR"},{"key":"2021041602151279900_bib5","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.jpba.2014.11.040","article-title":"Pharmaceuticals in the environment: Biodegradation and effects on natural microbial communities. 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