Advancements in Medical Textiles and the Integration of Herbal Extracts

Medical textiles, also known as healthcare textiles, are a rapidly advancing segment of technical textiles with applications in wound care, infection control, tissue engineering, and medical devices. Current research focuses on developing multifunctional textiles that enhance safety, therapeutic performance, and environmental sustainability while minimizing cross-infection risks in healthcare settings. In this context, the incorporation of herbal bioactives has gained attention due to their inherent antimicrobial, anti-inflammatory, antioxidant, and wound-healing properties. Extracts derived from medicinal plants such as Azadirachta indica (neem), Aloe vera, Curcuma longa (turmeric), and Ocimum sanctum (tulsi) offer natural, biocompatible, and biodegradable alternatives to conventional synthetic finishes used in medical textiles. The intention of this review article is to critically examine recent developments in medical textiles, with a specific emphasis on the medical classification, requirements, and performance of healthcare textiles. It covers various techniques involved in the finishing of fabrics with herbal extracts, such as coating, grafting, microencapsulation, sol-gel processing, and nanotechnology-assisted delivery systems. This review presents future opportunities for herbal-functionalized medical textiles as sustainable and patient-centric solutions for next-generation healthcare applications.

Antimicrobial material, Functional finishing, medical textiles, Herbal extracts, Sustainable healthcare

1. Ahmed, L. A., Hussain, A., Barbhuiya, P. A., Zaman, S., Laskar, A. M., Pathak, M. P., Dutta, P. P., & Sen, S. (2025). Herbal Medicine for the Management of Wounds: A Systematic Review of Clinical Studies. Infectious Disorders - Drug Targets, 25(5). https://doi.org/10.2174/0118715265320593241007095952 [Google Scholar] [Crossref]

2. Altman, G. H., Diaz, F., Jakuba, C., Calabro, T., Horan, R. L., Chen, J., Lu, H., Richmond, J., & Kaplan, D. L. (2003). Silk-based biomaterials. Biomaterials, 24(3), 401–416. https://doi.org/10.1016/S01429612(02)00353-8 [Google Scholar] [Crossref]

3. Anand, U., Tudu, C. K., Nandy, S., Sunita, K., Tripathi, V., Loake, G. J., Dey, A., & Proćków, J. (2022). Ethnodermatological use of medicinal plants in India: From ayurvedic formulations to clinical perspectives – A review. Journal of Ethnopharmacology, 284, 114744. https://doi.org/10.1016/j.jep.2021.114744 [Google Scholar] [Crossref]

4. Anandjiwala, R. D. (2006). ROLE OF ADVANCED TEXTILE MATERIALS IN HEALTHCARE. In Medical Textiles and Biomaterials for Healthcare (pp. 90–98). Elsevier. https://doi.org/10.1533/9781845694104.2.90 [Google Scholar] [Crossref]

5. Askari, M., Jadid Tavaf, M., Ghorbani, M., Yazdanian, M., & Moghaddam, M. M. (2024). Electrospun Propolis-coated PLGA Scaffold Enhances the Osteoinduction of Mesenchymal Stem Cells. Current Stem Cell Research & Therapy, 19(1), 94–102. https://doi.org/10.2174/1574888X18666230330104314 [Google Scholar] [Crossref]

6. Bibi, A., Afza, G., Afzal, Z., Farid, M., Sumrra, S. H., Hanif, M. A., Kolita Kama Jinadasa, B. K., & Zubair, M. (2024). Synthetic vs. natural antimicrobial agents for safer textiles: a comparative review. RSC Advances, 14(42), 30688–30706. https://doi.org/10.1039/D4RA04519J [Google Scholar] [Crossref]

7. Catalano, A., Ceramella, J., Iacopetta, D., Marra, M., Conforti, F., Lupi, F. R., Gabriele, D., Borges, F., & Sinicropi, M. S. (2024). Aloe vera―An Extensive Review Focused on Recent Studies. Foods, 13(13), 2155. https://doi.org/10.3390/foods13132155 [Google Scholar] [Crossref]

8. Chelu, M., Musuc, A. M., Popa, M., & Calderon Moreno, J. (2023). Aloe vera-Based Hydrogels for Wound Healing: Properties and Therapeutic Effects. Gels, 9(7), 539. https://doi.org/10.3390/gels9070539 [Google Scholar] [Crossref]

9. Chen, M., Yu, W., Shi, Q., Wen, H., Li, G., Wang, Y., Wang, T., Liu, S., & Yang, T. (2024). Boosting the Anti-Infection Ability of Titanium Implants by Coating Polydopamine–Curcumin. Coatings, 14(5), 640. https://doi.org/10.3390/coatings14050640 [Google Scholar] [Crossref]

10. Ebenezer, P., Kumara, S. P. S. N. B. S., Senevirathne, S. W. M. A. I., Bray, L. J., Wangchuk, P., Mathew, A., & Yarlagadda, P. K. D. V. (2025). Advancements in Antimicrobial Surface Coatings Using Metal/Metaloxide Nanoparticles, Antibiotics, and Phytochemicals. Nanomaterials, 15(13), 1023. https://doi.org/10.3390/nano15131023 [Google Scholar] [Crossref]

11. El Mihyaoui, A., Esteves da Silva, J. C. G., Charfi, S., Candela Castillo, M. E., Lamarti, A., & Arnao, M. B. (2022). Chamomile (Matricaria chamomilla L.): A Review of Ethnomedicinal Use, Phytochemistry and Pharmacological Uses. Life, 12(4), 479. https://doi.org/10.3390/life12040479 [Google Scholar] [Crossref]

12. Gheorghita, R., Filip, R., Lupaescu, A.-V., Iavorschi, M., Anchidin-Norocel, L., & Gutt, G. (2023). Innovative Materials with Possible Applications in the Wound Dressings Field: Alginate-Based Films with Moringa oleifera Extract. Gels, 9(7), 560. https://doi.org/10.3390/gels9070560 [Google Scholar] [Crossref]

13. H Mondal, Md. I. (2023). Anti-microbial Finishing of Cotton Fabric Using Neem Leaf Extract for Medical and Healthcare Textiles. Research in Medical & Engineering Sciences, 10(3). https://doi.org/10.31031/RMES.2023.10.000736 [Google Scholar] [Crossref]

14. Hossain, M. M., Islam, T., Jalil, M. A., Rakibuzzaman, S. M., Surid, S. M., Zabed, M. R. I., Talukder, A., & Hossain, S. (2024). Advancements of eco‐friendly natural antimicrobial agents and their transformative role in sustainable textiles. SPE Polymers, 5(3), 241–276. https://doi.org/10.1002/pls2.10135 [Google Scholar] [Crossref]

15. Ivanovska, A., Milošević, M., Obradović, B., Svirčev, Z., & Kostić, M. (2023). Plasma Treatment as a Sustainable Method for Enhancing the Wettability of Jute Fabrics. Sustainability, 15(3), 2125. https://doi.org/10.3390/su15032125 [Google Scholar] [Crossref]

16. Liu, H., Bai, Y., Huang, C., Wang, Y., Ji, Y., Du, Y., Xu, L., Yu, D.-G., & Bligh, S. W. A. (2023). Recent Progress of Electrospun Herbal Medicine Nanofibers. Biomolecules, 13(1), 184. https://doi.org/10.3390/biom13010184 [Google Scholar] [Crossref]

17. Mishra, M. U., Tembhare, A. D., Baghele, N. S., Murjani, T. S., & Katre, V. J. (2025). Preparation and Evaluation of Herbal Sanitary Napkin for Menstrual Health. Journal for Research in Applied Sciences and Biotechnology, 4(1), 145–149. https://doi.org/10.55544/jrasb.4.1.18 [Google Scholar] [Crossref]

18. Olmo, J. A.-D., Ruiz-Rubio, L., Pérez-Alvarez, L., Sáez-Martínez, V., & Vilas-Vilela, J. L. (2020). Antibacterial Coatings for Improving the Performance of Biomaterials. Coatings, 10(2), 139. https://doi.org/10.3390/coatings10020139 [Google Scholar] [Crossref]

19. Paczkowska-Walendowska, M., Ignacyk, M., Miklaszewski, A., Plech, T., Karpiński, T. M., Kwiatek, J., Swora-Cwynar, E., Walendowski, M., & Cielecka-Piontek, J. (2024). Electrospun Nanofibers with Pomegranate Peel Extract as a New Concept for Treating Oral Infections. Materials, 17(11), 2558. https://doi.org/10.3390/ma17112558 [Google Scholar] [Crossref]

20. Paul, S. C., Islam, S., Kaikobad, Sadman, M. S., Emon, M. H., Zaman, B., Islam, B., Hossen, S., Sarker, M. E., & Mamun, A. Al. (2025). Exploring Biodegradable Fibers as Sustainable Alternatives for Sanitary Napkin: A Comprehensive Review. Environmental Technology & Innovation, 104735. https://doi.org/10.1016/j.eti.2025.104735 [Google Scholar] [Crossref]

21. Popescu, M., & Ungureanu, C. (2023). Green Nanomaterials for Smart Textiles Dedicated to Environmental and Biomedical Applications. Materials, 16(11), 4075. https://doi.org/10.3390/ma16114075 [Google Scholar] [Crossref]

22. Presedence Research. (2025). Medical Textiles Market Size, Share and Trends 2025 to 2034. [Google Scholar] [Crossref]

23. Raina, R. K. , P. S. , V. P. K. , & P. N. K. (2008). (2008). Medicinal Plants and their Role in Wound Healing. Medicine, Environmental Science, Biology. [Google Scholar] [Crossref]

24. Ratner, B. D. , H. A. S. , S. F. J. , & L. J. E. (2013). An introduction to materials in medicine. [Google Scholar] [Crossref]

25. Saha, J., Ahmed, F., Mahmud, S. T., & Mondal, Md. I. H. (2022). Protective medical textiles for patients and health professionals. In Protective Textiles from Natural Resources (pp. 39–73). Elsevier. https://doi.org/10.1016/B978-0-323-90477-3.00007-9 [Google Scholar] [Crossref]

26. Sain, A. S., & Juneja, S. J. (2024). Evaluation of Antimicrobial Properties of Linen Fabrics Dyed with Medicinal Herbal Extracts. Journal of Advanced Zoology. https://doi.org/10.53555/jaz.v45i6.5274 [Google Scholar] [Crossref]

27. Salehi, N., Ghaee, A., Moris, H., Derhambakhsh, S., Sharifloo, M. M., & Safshekan, F. (2024). Electrospun zein nanofibers loaded with curcumin as a wound dressing: enhancing properties with PSS and PDADMAC layers. Biomedical Materials, 19(2), 025044. https://doi.org/10.1088/1748-605X/ad2a39 [Google Scholar] [Crossref]

28. Schneider, G., Vieira, L. G., Carvalho, H. E. F. de, Sousa, Á. F. L. de, Watanabe, E., Andrade, D. de, & Silveira, R. C. de C. P. (2023). Textiles impregnated with antimicrobial substances in healthcare services: systematic review. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1130829 [Google Scholar] [Crossref]

29. Sharma, A., Khanna, S., Kaur, G., & Singh, I. (2021). Medicinal plants and their components for wound healing applications. Future Journal of Pharmaceutical Sciences, 7(1), 53. https://doi.org/10.1186/s43094021-00202-w [Google Scholar] [Crossref]

30. Simoncic, B., & Tomsic, B. (2010). Structures of Novel Antimicrobial Agents for Textiles - A Review. Textile Research Journal, 80(16), 1721–1737. https://doi.org/10.1177/0040517510363193 [Google Scholar] [Crossref]

31. Sun, L., Jin, S., Feng, Y., & Liu, Y. (2025). Antibacterial nonwoven materials in medicine and healthcare. Journal of Biomaterials Applications, 39(7), 671–695. https://doi.org/10.1177/08853282241297872 [Google Scholar] [Crossref]

32. Tummalapalli, M., Anjum, S., Kumari, S., & Gupta, B. (2016). Antimicrobial Surgical Sutures: Recent Developments and Strategies. Polymer Reviews, 56(4), 607–630. https://doi.org/10.1080/15583724.2015. 1119163 [Google Scholar] [Crossref]

33. Walsh, T. R., Gales, A. C., Laxminarayan, R., & Dodd, P. C. (2023). Antimicrobial Resistance: Addressing a Global Threat to Humanity. PLOS Medicine, 20(7), e1004264. https://doi.org/10.1371/journal.pmed.1004264 [Google Scholar] [Crossref]

34. Wang, X., Liang, Q., Luo, Y., Ye, J., Yu, Y., & Chen, F. (2024). Engineering the next generation of theranostic biomaterials with synthetic biology. Bioactive Materials, 32, 514–529. https://doi.org/10.1016/j.bioactmat.2023.10.018 [Google Scholar] [Crossref]

35. Wylie, M. R., & Merrell, D. S. (2022). The Antimicrobial Potential of the Neem Tree Azadirachta indica. Frontiers in Pharmacology, 13. https://doi.org/10.3389/fphar.2022.891535 [Google Scholar] [Crossref]

36. Xu, F.-W., Lv, Y.-L., Zhong, Y.-F., Xue, Y.-N., Wang, Y., Zhang, L.-Y., Hu, X., & Tan, W.-Q. (2021). Beneficial Effects of Green Tea EGCG on Skin Wound Healing: A Comprehensive Review. Molecules, 26(20), 6123. https://doi.org/10.3390/molecules26206123 [Google Scholar] [Crossref]

37. Zhou, R., Zhang, W., Huang, J., Peng, W., Wang, W., Bo, R., Liu, M., & Li, J. (2024). A hydrogel dressing loaded with tea tree oil nanoemulsion accelerates methicillin-resistant Staphylococcus aureus-infected wound healing. Materials Today Communications, 39, 109218. https://doi.org/10.1016/j.mtcomm.2024.109218 [Google Scholar] [Crossref]

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