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Matrix-assisted laser desorption ionization-time of flight mass spectrometry meropenem hydrolysis assay with NH4HCO3, a reliable tool for direct detection of carbapenemase activity

CC. Papagiannitsis, V. Študentová, R. Izdebski, O. Oikonomou, Y. Pfeifer, E. Petinaki, J. Hrabák,

. 2015 ; 53 (5) : 1731-5. [pub] 20150218

Language English Country United States

Document type Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't

E-resources Online Full text

NLK Free Medical Journals from 1975 to 6 months ago
Freely Accessible Science Journals from 1995 to 6 months ago
PubMed Central from 1975 to 1 year ago
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Open Access Digital Library from 1975-01-01

A comparison of a matrix-assisted laser desorption ionization-time of flight mass spectrometric (MALDI-TOF MS) meropenem hydrolysis assay with the Carba NP test showed that both methods exhibited low sensitivity (approximately 76%), mainly due to the false-negative results obtained with OXA-48-type producers. The addition of NH4HCO3 to the reaction buffer for the MALDI-TOF MS assay dramatically improved its sensitivity (98%). Automatic interpretation of the MALDI-TOF MS assay, using the MBT STAR-BL software, generally agreed with the results obtained after manual analysis. For the Carba NP test, spectrophotometric analysis found six additional carbapenemase producers.

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