An antimicrobial polymeric bilayer structure based on the application of an acrylic coating containing hollow zinc oxide nanotubes over a polymeric substrate was developed in this work. Firstly, zinc oxide nanotubes (ZnO NT ) were obtained by an atomic layer deposition (ALD) process over electrospun polyvinyl alcohol nanofibers followed by polymer removal through calcination with the purpose of obtaining antimicrobial nanostructures with a high specific area. Parameters of electrospinning, ALD, and calcination processes were set in order to obtain successfully hollow zinc oxide nanotubes. Morphological studies through scanning electron microscopy (SEM) and transmission electron microscopy (TEM) microscopies confirmed the morphological structure of ZnO NT with an average diameter of 180 nm and thickness of approximately 60 nm. Thermal and X-ray diffraction (XRD) analyses provided evidence that calcination completely removed the polymer, resulting in a crystalline hexagonal wurtzite structure. Subsequently, ZnO NT were incorporated into a polymeric coating over a polyethylene extruded film at two concentrations: 0.5 and 1 wt. % with respect to the polymer weight. An antimicrobial analysis of developed antimicrobial materials was performed following JIS Z2801 against Staphylococcus aureus and Escherichia coli. When compared to active materials containing commercial ZnO nanoparticles, materials containing ZnO NT presented higher microbial inhibition principally against Gram-negative bacteria, whose reduction was total for films containing 1 wt. % ZnO NT . Antiviral studies were also performed, but these materials did not present significant viral reduction.Nanomaterials 2020, 10, 503 2 of 14 antimicrobial nanostructures are one of the most promising alternatives in the search for new antimicrobial substances [3][4][5]. The attention has been principally centered on metallic/metal oxide nanoparticles due to their broad antibacterial and antifungal activities at low concentrations thanks to their high specific area [6][7][8][9].Zinc oxide (ZnO) nanoparticles are an inorganic material with optical, chemical sensing, electric conductivity, catalytic, photochemical, and antimicrobial properties. This metal oxide presents three crystal structures: wurtzite, zinc blend, and rocksalt, with a direct wide band gap of 3.3 Ev [10]. Some works have evidenced ZnO nanoparticles with dimensions smaller than 100 nm have shown increasing antimicrobial properties against Gram-negative and Gram-positive bacteria due to a higher cellular internalization. Specifically, Verma et al. (2018) studies have indicated that the antibacterial activity of ZnO nanoparticles against Staphylococcus aureus and Escherichia coli increased with the decrease in their size from 250 to 80, 40, and 20 nm due to an increased reactive oxygen species generation and membrane damage in bacteria [11,12]. Different synthesis methods as sol-gel, hydrothermal, simple thermal sublimation, vapor-liquid-solid, double-jet precipitation, self-combustion, and "green synthes...