Antimicrobial finishing of textiles protects users from pathogenic microorganisms, which can cause medical and hygienic problem. The use of such textiles particularly increases in healthcare facilities, where reduction and transmission of pathogenic bacteria are important factors for preventing nosocomial infections. In the present study, the efficiency of fabric with silane quaternary ammonium compounds (Si-QAC) applied as active agents was evaluated. A test was performed according to ATCC 100-1999 Test Method after 0-, 24-and 48-hour incubation times. The treated textiles were effective against Enterococcus faecalis, Staphylococcus aureus and Klebsiella pneumoniae, but were not effective for Gramnegative Escherichia coli and Pseudomonas aeruginosa. Testing was also performed in hospital environment at infectious department where working clothes made of treated fabric were compared to normal working clothes. Antimicrobial textiles were not effective in a hospital environment, where average microbial count on medical workers' uniforms without antimicrobial protection was 1.4 × 10 9 cfu/mL, and 1.3 × 10 9 cfu/mL for uniforms made of antimicrobial material. Our conclusion is that quantities of application rates for Si-QAC should be higher or should be improved with applying another antimicrobial coating to obtain complex with dual activity.