Disclosed is the use of a composition comprising shortened fibres of poly-&bgr;-1→4-Nacetylglucosamine (“sNAG nanofibres”) in the manufacture of a medicament for treating an intestinal disease or a condition associated with a bacterial imbalance in a subject in need thereof, wherein the medicament is manufactured to be topically administered, wherein the sNAG nanofibres are less than 10 μm in average length, wherein the sNAG nanofibres comprise 70% or more than 70% of the N-acetylglucosamine monosaccharides, and wherein the sNAG nanofibres do not have an effect, or substantially have no effect, on bacterial growth or survival of Staphylococcus aureus bacterial cultures in vitro.