Following the secular idea of ″restitutio ad integrum″,
regeneration is the pursued option to restore bones lost after a disease;
accordingly, complementing antibiotic and regeneration capacity to
bone grafts represents a great scientific success. This study is a
framework proposal for understanding the antimicrobial effect of biocompatible
nano-hydroxyapatite/MoO
x
(nano-HA/MoO
x
) platforms on the basis of their electroactive
behavior. Through cyclic voltammetry and chronoamperometry measurements,
the electron transference capacity of nano-HA and nano-HA/MoO
x
electrodes was determined in the presence of
pathogenic organisms: Pseudomonas aeruginosa and Staphylococcus aureus. Faradaic
processes were confirmed and related to the switch of MoO4
2–/PO4
3– groups in
the original hexagonal nano-HA crystal lattice and to the extent of
OH vacancies that act as electron acceptors. Microscopic analysis
of bacteria’s ultrastructure showed a disruptive effect on
the cytoplasmic membrane upon direct contact with the materials, which
is not evident in the presence of eukaryotic cells. Experiments support
the existence of a type of extracellular electron transfer (EET) process
that alters the function of the bacterial cytoplasmic membrane, accelerating
their death. Our findings provide strong quantitative support for
a drug-independent biocidal physical approach based on EET processes
between microorganisms and phosphate ceramics that can be used to
combat local orthopedic infections associated with implants.