A cable tie includes a body having a composition wherein the composition includes a base plastic, an antimicrobial additive, and a detectable additive selected from a detectable metal additive, an X-ray detectable additive, and combinations thereof, a head having a bard including a metallic barb material, and wherein the body and the head are integrally formed. The antimicrobial additive can be configured to be resistant against silver-ion resistant pathogens. The antimicrobial additive can include complexes of zinc, copper, other metallic ions, and combinations thereof.