A microwave-excited atmospheric-pressure plasma jet (uAPPJ) exhibited a synergistic sterilization effect when combined with hydrogen peroxide (H2O2), distilled water (DW) and titanium dioxide (TiO2) photocatalysis. The sterilization efficacy of H2O2?uAPPJ increased as the H2O2 concentration increased. The addition of TiO2 also remarkably increased the sterilization efficacy. To find the main factor for the sterilization effect, optical emission spectra and the degradation rate of a methylene blue solution were measured. Numerical analysis, a newly developed global modeling, was also conducted to discover the mechanisms. Both experimental measurements and global modeling results suggested that combinations of H2O2, DW and TiO2 increased the generation of hydroxyl radicals (?OH), which are known to be strong bactericidal agents. It was revealed that charged species, especially electrons, have a dominant role in the increase of ?OH.