Antibiotic resistance is one of the greatest threats to global health and food security today. It becomes increasingly difficult to treat infectious disorders because antibiotics, even the newest ones, are becoming less and less effective. One of the ways taken in the Global Plan of Action announced at the World Health Assembly in May 2015 is to ensure the prevention and treatment of infectious diseases. In order to do so, attempts are made to develop new antimicrobial therapeutics, including biomaterials with antibacterial activity, such as polycationic polymers, polypeptides, and polymeric systems, to provide non-antibiotic therapeutic agents, such as selected biologically active nanoparticles and chemical compounds. Another key issue is preventing food from contamination by developing antibacterial packaging materials, particularly based on degradable polymers and biocomposites. This review, in a cross-sectional way, describes the most significant research activities conducted in recent years in the field of the development of polymeric materials and polymer composites with antibacterial properties. We particularly focus on natural polymers, i.e., polysaccharides and polypeptides, which present a mechanism for combating many highly pathogenic microorganisms. We also attempt to use this knowledge to obtain synthetic polymers with similar antibacterial activity.

This study aimed to manufacture and characterize highly porous dressings based on gellan gum (GG) and sodium alginate (Alg) hydrogels modified with zinc oxide (ZnO) and bacitracin (BAC) intended for infected and exuding wounds. ZnO nanoparticles (ZnO(n)) were 26 ± 4 nm in size according to atomic force microscopy (AFM), while the size of the microparticles (ZnO(m)) was 1.02 ± 0.01 µm according to laser diffraction measurements. Their relative surface areas were 39.16 m²/g and 4.56 m²/g, respectively. Microbiological studies showed that ZnO(n) exhibited antibacterial activity in contact with the Gram+ Staphylococcus aureus; thus, they were selected for embedding in a hydrogel matrix. Four types of composite hydrogel samples were manufactured: GG/Alg, GG/Alg+ZnO, GG/Alg+BAC, and GG/Alg+ZnO+BAC, which were subjected to freeze drying. The water absorption of all materials exceeded 4000%, showing excellent liquid absorbability. Burst release of BAC was found at a level of 90% in the first 2 h. In vitro cytotoxicity studies on L929 fibroblasts did not show a toxic effect of extracts from the GG/Alg and GG/Alg+BAC samples, contrary to samples supplemented with ZnO(n). In microbiological studies, the enhanced antibacterial effect of ZnO(n) and BAC was observed in contact with Staphylococcus aureus and Staphylococcus epidermidis strains. Therefore, GG/Alg+BAC+ZnO is the most promising dressing system for the treatment of infected and exuding wounds.