Microbial infection remains one of the most serious complications in several areas, particularly in medical devices, drugs, health care and hygienic applications, water purification systems, hospital and dental surgery equipment, textiles, food packaging, and food storage. Antimicrobials gain interest from both academic research and industry due to their potential to provide quality and safety benefits to many materials. However, low molecular weight antimicrobial agents suffer from many disadvantages, such as toxicity to the environment and short-term antimicrobial ability. To overcome problems associated with the low molecular weight antimicrobial agents, antimicrobial functional groups can be introduced into polymer molecules. The use of antimicrobial polymers offers promise for enhancing the efficacy of some existing antimicrobial agents and minimizing the environmental problems accompanying conventional antimicrobial agents by reducing the residual toxicity of the agents, increasing their efficiency and selectivity, and prolonging the lifetime of the antimicrobial agents. Research concerning the development of antimicrobial polymers represents a great a challenge for both the academic world and industry. This article reviews the state of the art of antimicrobial polymers primarily since the last comprehensive review by one of the authors in 1996. In particular, it discusses the requirements of antimicrobial polymers, factors affecting the antimicrobial activities, methods of synthesizing antimicrobial polymers, major fields of applications, and future and perspectives in the field of antimicrobial polymers.

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Antimicrobial copolymers bearing quaternary ammonium and phosphonium salts based on a copolymer of glycidyl methacrylate and 2‐hydroxyethyl methacrylate were synthesized. Poly(glycidyl methacrylate‐co‐2‐hydroxyethyl methacrylate) was modified for the introduction of chloromethyl groups by its reaction with chloroacetyl chloride. The chloroacetylated copolymer was modified for the production of quaternary ammonium or phosphonium salts. The antimicrobial activity of the obtained copolymers was studied against gram‐negative bacteria (Escherichia coli, Pseudomonas aeruginosa, Shigella sp., and Salmonella typhae), gram‐positive bacteria (Bacillus subtilus and B. cereus), and the fungus Trichophyton rubrum by the cut‐plug method. The results showed that the three copolymers had high antimicrobial activity. A control experiment was carried out on the main polymer without ammonium or phosphonium groups. The copolymer bearing quaternary salt made from tributyl phosphine was the most effective copolymer against both gram‐negative and gram‐positive bacteria and the fungus T. rubrum. The diameters of the inhibition zones ranged between 20 and 60 mm after 24 h. © 2002 Wiley Periodicals, Inc. J Polym Sci Part A: Polym Chem 40: 2384–2393, 2002