Two different methods were used to obtain composite materials based on a ZnO nanoparticles-hydrogel-cotton fabric. The hydrogels, synthesized by photopolymerization, were utilized to provide uniform distribution and binding of the nanoparticles to the fiber surface and to prevent their agglomeration. N-methyldiethanolamine (MDEA) was used as a co-initiator in hydrogel photopolymerization and as an alkaline agent in the synthesis of ZnO nanoparticles. Due to the difference in size, shape and morphology of the nanoparticles, examined by a TEM and SEM, it was found that the materials have distinct photoluminescence properties, e.g. in the entire visible or UV range. The composite materials with small size nanoparticles and photoluminescence in near UV range were investigated for antibiotic activity against the bacterial strains Pseudomonas aeruginosa and Acinetobacter johnsonii known as important pathogens in clinical infections. Significantly high antibacterial effect on the bacteria tested was achieved, especially on A. johnsonii. This suggests potential application of the new formulations as effective wound dressings to control the spread of infections. (C) 2015 Elsevier B.V. All rights reserved.