Cable ties including an antimicrobial additive and a detectable component as well as methods of making the same. More particularly, cable ties including a composition having a base plastic, an antimicrobial additive and a detectable additive selected from a detectable metal additive, an X-ray detectable additive, and combinations thereof. Also, cable ties including a composition and an antimicrobial metallic barb material wherein the composition includes a base plastic and an antimicrobial additive.