Evaluating enzyme activity intracellularly on natural substrates is asignificant experimental challenge in biomedical research. We report alabel-free method for real-time monitoring of the catalytic behavior of class A, B, and Dc arbapenemases in live bacteria based on measurement of heat changes. By this means,novel biphasic kinetics for class DOXA-48 with imipenem as substrate is revealed, providing anew approach to detect OXA-48-like producers.T his in-cell calorimetry approach offers major advantages in the rapid screening (10 min) of carbapenemase-producing Enterobacteriaceae from 142 clinical bacterial isolates,w ith superior sensitivity (97 %) and excellent specificity (100 %) compared to conventional methods.Asageneral, label-free method for the study of living cells,t his protocol has potential for application to aw ider range and variety of cellular components and physiological processes.