Microbes can be carried by and even multiply on textiles. The first real, premeditated, microbiological warfare happened in 1763, during the Anglo-French wars in North America, when Native American emissaries were given blankets or handkerchiefs contaminated with smallpox. Thus, a small epidemic started and spread rapidly, causing considerable damage to the rank and file of the Native Americans. Nowadays, it could be said that textiles could be vectors of infections in hospitals or communities. The making of antimicrobial textiles could prevent them from becoming a reservoir of microbes in the transmission of infections and in cases of voluntary contamination in a terrorist threat for example. However, methods have to show that textiles are really active and do not attack the cutaneous flora they are in contact with. In this chapter, the role of textiles in the transmission of infections is summarized and the main characteristics of antimicrobial textiles are described. © 2012 Springer Science+Business Media B.V.