Gold-tellurium nanostructures (Au-Te NSs), silver-tellurium nanostructures (Ag-Te NSs), and gold/silver-tellurium nanostructures (Au/Ag-Te NSs) have been prepared through galvanic reactions of tellurium nanotubes (Te NTs) with Au(3+), Ag(+), and both ions, respectively. Unlike the use of less environmentally friendly hydrazine, fructose as a reducing agent has been used to prepare Te NTs from TeO2 powders under alkaline conditions. The Au/Ag-Te NSs have highly catlaytic activity to convert nonfluorescent Amplex Red to form fluorescent product, revealing their great strength of generating reactive oxygen species (ROS). Au/Ag-Te NSs relative to the other two NSs exhibit greater antimicrobial activity toward the growth of E. coli, S. enteritidis, and S. aureus; the minimal inhibitory concentration (MIC) values of Au/Ag-Te NSs were much lower (>10-fold) than that of Ag-Te NSs and Au-Te NSs. The antibacterial activity of Au/Ag-Te NSs is mainly due to the release of Ag(+) ions and Te-related ions and also may be due to the generated ROS which destroys the bacteria membrane. In vitro cytotoxicity and hemolysis analyses have revealed their low toxicity in selected human cell lines and insignificant hemolysis in red blood cells. In addition, inhibition zone measurements using a Au/Ag-Te NSs-loaded konjac jelly film have suggested that it has great potential in practial application such as wound dressing for reducing bacterial wound infection. Having great antibacterial activitiy and excellent biocompatibility, the low-cost Au/Ag-Te NSs hold great potential as effective antimicrobial drugs.