In the present study, cotton fiber was treated with phosphorus trichloride in the presence of oxygen. As a result of the subsequent hydrolysis of modified cotton fibers, phosphorus-containing fragments with acidic groups and chlorine atoms were introduced onto their surface. Afterward, silver-containing composites based on raw and modified cotton fibers were prepared using the chemical reduction method. The obtained samples were characterized in detail by Fourier transform infrared spectroscopy, ultraviolet–visible spectroscopy, X-ray powder diffraction, as well as by thermogravimetric analysis, scanning electron microscopy, and energy-dispersive X-ray analysis. A comparative bioassay experiment of four samples for gram-negative (Escherichia coli) bacteria, gram-positive (Staphylococcus aureus) bacteria, and the fungus Candida albicans was carried out. These results showed the predominant antibacterial activity of the phosphorylated sample and the composite based on it. Thus, the development of these antibacterial cotton fibers using readily available reagents under relatively mild conditions could be used as potential industrial applications for the production of everyday medical textiles.
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