Healthcare-associated infections (HAIs) remain a significant global challenge, affecting approximately 7% of patients in developed countries and over 10% in developing regions, according to the World Health Organization. Medical textiles, particularly hospital bed linens and pillowcases, play a critical role in the transmission of pathogenic microorganisms due to their porous structure and moisture-retaining properties, which support microbial survival and proliferation, including bacteria such as Staphylococcus aureus and Escherichia coli. Conventional disinfection methods, including laundering and thermal treatments, provide only temporary protection, leading to rapid recontamination during use. In recent years, various antimicrobial agents and functionalization techniques have been developed to impart long-lasting antiseptic properties to textile materials. However, these approaches differ significantly in terms of antimicrobial efficiency, durability, cost-effectiveness, and environmental impact, making the selection of optimal strategies challenging for practical healthcare applications. This review provides a comprehensive comparative analysis of antimicrobial agents used in healthcare textile functionalization, including metal-based nanoparticles, organic compounds, and bio-based materials. In addition, it evaluates key modification methods such as coating, padding, and in situ synthesis, with particular emphasis on their influence on antimicrobial performance, wash durability, and practical applicability. Furthermore, this review discusses major challenges associated with the use of antiseptic coatings, including toxicity, environmental concerns, and economic limitations. Based on the analysis, promising directions for the development of safer, cost-effective, and durable antimicrobial textile systems are highlighted, offering valuable insights for future research and real-world healthcare applications.
Dilfuza et al. (Fri,) studied this question.