“…However, the antimicrobial effect of chitosan is observed only in acidic environments. Thus, due to the low solubility and lack of a positive charge at neutral pH, a large number of chitosan derivatives modified with amine (N-modified) and hydroxyl (O-modified) groups by acylation, carboxylation, alkylation, and quaternatization have been developed and investigated [ 43 , 58 , 97 , 119 , 120 , 132 , 133 , 142 , 172 , 173 , 174 , 175 , 176 ]. Furthermore, the secondary hydroxyl groups (C3-OH), which are difficult to modify, cause large steric hindrance.…”