PMID- 26337432 OWN - NLM STAT- MEDLINE DCOM- 20160726 LR - 20181202 IS - 1435-4373 (Electronic) IS - 0934-9723 (Linking) VI - 34 IP - 11 DP - 2015 Nov TI - Rapid detection of carbapenemase activity: benefits and weaknesses of MALDI-TOF MS. PG - 2225-34 LID - 10.1007/s10096-015-2473-z [doi] AB - Matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry (MS) has been introduced as an identification procedure for bacteria and fungi. The MALDI-TOF MS-based analysis of resistance to beta-lactam antibiotics has been applied to detect hydrolysis of carbapenems by different bacterial strains. However, the detection of enzymatic carbapenem degradation by MALDI-TOF MS lacks well-standardized protocols and several methods and models of interpretation using different calculations of ratio-of-peak intensities have been described in the literature. Here, we used faropenem and ertapenem hydrolysis as model compounds. In an attempt to propose a universal protocol, the hydrolysis was regularly monitored during 24 h using well-characterized bacterial strains producing different types of carbapenemases (KPC, IMP, NDM, VIM, and OXA-48). Variable responses and different timing for detectable hydrolysis, depending on the enzyme produced, were observed. KPC degrades its template antibiotics very quickly (15 min for some KPC producers) compared to other types of enzymes (more than 90 min for other enzymes). Prior bacterial lysis was shown to be of no interest in the modulation or optimization of the hydrolytic kinetics. The adequate detection of carbapenem hydrolysis would, therefore, require several MALDI-TOF MS readouts for the timely detection of rapid hydrolysis without missing slow hydrolysis. This enzymatic constraint limits the implementation of a standard protocol in routine microbiology laboratories. FAU - Mirande, C AU - Mirande C AD - Microbiology Innovation Unit, bioMerieux SA, 3 route de Port Michaud, La Balme-les-Grottes, France. caroline.mirande@biomerieux.com. FAU - Canard, I AU - Canard I AD - Microbiology Innovation Unit, bioMerieux SA, 3 route de Port Michaud, La Balme-les-Grottes, France. FAU - Buffet Croix Blanche, S AU - Buffet Croix Blanche S AD - Microbiology Innovation Unit, bioMerieux SA, 3 route de Port Michaud, La Balme-les-Grottes, France. FAU - Charrier, J-P AU - Charrier JP AD - TRD-Innovation Unit, bioMerieux SA, Marcy L'Etoile, France. FAU - van Belkum, A AU - van Belkum A AD - R&D Microbiology, bioMerieux SA, La Balme-les-Grottes, France. FAU - Welker, M AU - Welker M AD - R&D Microbiology, bioMerieux SA, La Balme-les-Grottes, France. FAU - Chatellier, S AU - Chatellier S AD - Microbiology Innovation Unit, bioMerieux SA, 3 route de Port Michaud, La Balme-les-Grottes, France. LA - eng PT - Journal Article DEP - 20150904 PL - Germany TA - Eur J Clin Microbiol Infect Dis JT - European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology JID - 8804297 RN - 0 (Anti-Bacterial Agents) RN - 0 (Bacterial Proteins) RN - 0 (beta-Lactams) RN - EC 3.5.2.6 (beta-Lactamases) RN - EC 3.5.2.6 (carbapenemase) RN - F52Y83BGH3 (fropenem) RN - G32F6EID2H (Ertapenem) SB - IM MH - Anti-Bacterial Agents/*metabolism MH - Bacterial Proteins/*analysis MH - Ertapenem MH - Fungi MH - Humans MH - Hydrolysis MH - Kinetics MH - Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/*methods MH - Time Factors MH - beta-Lactamases/*analysis MH - beta-Lactams/metabolism EDAT- 2015/09/05 06:00 MHDA- 2016/07/28 06:00 CRDT- 2015/09/05 06:00 PHST- 2015/08/11 00:00 [received] PHST- 2015/08/16 00:00 [accepted] PHST- 2015/09/05 06:00 [entrez] PHST- 2015/09/05 06:00 [pubmed] PHST- 2016/07/28 06:00 [medline] AID - 10.1007/s10096-015-2473-z [pii] AID - 10.1007/s10096-015-2473-z [doi] PST - ppublish SO - Eur J Clin Microbiol Infect Dis. 2015 Nov;34(11):2225-34. doi: 10.1007/s10096-015-2473-z. Epub 2015 Sep 4.