The overuse of antibiotics has led to the emergence of
a large
number of antibiotic-resistant genes in bacteria, and increasing evidence
indicates that a fungicide with an antibacterial mechanism different
from that of antibiotics is needed. Quaternary ammonium salts (QASs)
are a biparental substance with good antibacterial properties that
kills bacteria through simple electrostatic adsorption and insertion
into cell membranes/altering of cell membrane permeability. Therefore,
the probability of bacteria developing drug resistance is greatly
reduced. In this review, we focus on the synthesis and application
of single-chain QASs, double-chain QASs, heterocyclic QASs, and gemini
QASs (GQASs). Some possible structure–function relationships
of QASs are also summarized. As such, we hope this review will provide
insight for researchers to explore more applications of QASs in the
field of antimicrobials with the aim of developing systems for clinical
applications.