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Cotton textiles improved with metal oxide nanoparticles acquire additional features that may enhance their action against antimicrobial-resistant pathogens due to the unique properties and characteristics of the nanoparticles. The main objective of this work is to evaluate the antimicrobial features of two-sided-coated cotton textiles with ZnO nanoparticles. Nanoparticles were deposited using green chemistry technology with low-temperature oxygen plasma. ZnO particles formed stable structures on textile fibers. The optimal deposition parameters (150 W plasma power, 120 min immersion time) achieved the best effects against Gram-negative and Gram-positive bacteria and microscopic fungi. Two-sided-coated cotton with ZnO nanoparticles showed high antibacterial action on Gram-negative and Gram-positive bacteria. Modification with zinc oxide inhibited the growth of <i>Candida albicans</i> by more than half.