新疆伊犁某牛场大肠杆菌耐药性调查

为了调查新疆伊犁某牛场饮水、饲料和粪样中分离的大肠杆菌对临床常用抗菌药物的耐药情况。本试验采用微量肉汤稀释法,对饮水源、饲料源、牛粪源样品中分离出的大肠杆菌进行最小抑菌浓度测定。结果显示,25份牛场饮水源样品,大肠杆菌分离率为100.0%（25/25）,对阿莫西林/克拉维酸（12.0%）、氨苄西林（4.0%）、诺氟沙星（4.0%）、恩诺沙星（8.0%）和安普霉素（8.0%）5种抗菌药物耐药;72份牛场饲料源样品,大肠杆菌分离率为65.3%（47/72）,对阿莫西林/克拉维酸（36.2%）、氨苄西林（19.1%）、诺氟沙星（4.3%）和安普霉素（4.3%）4种抗菌药物耐药;80份牛粪源样品,大肠杆菌分离率为100.0%（80/80）,对阿米卡星（12.5%）、氨苄西林（7.5%）、恩诺沙星（7.5%）、庆大霉素（5.0%）、诺氟沙星（2.5%）、环丙沙星（2.5%）、阿莫西林/克拉维酸（1.3%）和头孢噻呋（1.3%）8种抗菌药物耐药,仅对安普霉素敏感。该牛场分离的大肠杆菌对常用抗菌药物耐药情况一般,但中介率较高,须在临床治疗细菌性疾病中避免使用不敏感和中介率高的抗菌药物,养殖场饮水和饲料有被耐药大肠杆菌污染的风险。     

新疆地区牛和新引进牛大肠埃希菌耐药性比较

为了解新疆地区牛和新引进牛大肠埃希菌对临床常用抗菌药物的耐药差异,采用微量肉汤稀释法对分离的大肠埃希菌进行耐药性检测,通过卡方检验比较新疆地区牛和引进牛大肠埃希菌耐药性的差异。结果显示,新疆地区牛大肠埃希菌和引进牛大肠埃希菌除对氨苄西林(地区牛为11.90%、引进牛为6.25%)和阿莫西林(地区牛为5.55%、引进牛为5.21%)有较高的耐药率外,对其他临床常用抗菌药物的耐药率均较低,但引进牛对氟苯尼考、庆大霉素和安普霉素的中度敏感率分别为82.81%、44.79%和33.33%。经卡方检验比较,新疆引进牛对氟苯尼考、庆大霉素、安普霉素、阿莫西林和氨苄西林的中度敏感率显著高于新疆地区牛(P0.05)。虽然被检牛源大肠埃希菌对常用抗菌药物耐药较低,但引进牛大肠埃希菌高中度敏感率会导致其耐药率短期内迅速增高,因此须在临床治疗引进牛细菌性疾病中避免使用中度敏感率高的抗菌药物。     

Comparison of Drug Resistance of Escherichia coli from Different Cattle Farms in Kuitun Area of Xinjiang

In order to understand the resistance of E.coli to clinical antimicrobial drugs from different farms in Kuitun area of Xinjiang,the bovine fecal samples were collected using the anal swab and E.coli was isolated from 123 (30),127 (30) and 128 (30) farms,respectively.The minimum inhibitory concentrations of E coli isolated from fecal samples to 10 antimicrobial drugs were determined by agar dilution method and the difference of resistance rate of E.coli from different farms was compared by chi square test.The results showed that the resistance rates of 128 farm to amoxicillin/clavulanic acid (33.3%) and apramycin (23.3%) were relatively high;The resistance rates of 127 farm to ampicillin (20.0%),amoxicillin/clavulanic acid (16.7%) and florfenicol (16.7%) were relatively high;The resistance rates of 123 farm to ampicillin (13.3%) and the apramycin (13.3%) were relatively high.The chi square test results showed that resistance rates of E.coli to florfenicol and enrofloxacin from 127 farm were significantly higher than that from 123 and 128 farms (P<0.05);The resistance rates of E.coli to amoxicillin/clavulanic acid and apramycin from 128 farm were significantly higher than that from 123 and 127 farms (P<0.05),respectively.The most of the antibiotics resistance pattern of E.coli from different farms was 1 to 2 resistant.The results showed that the drug resistance rates of bovine E.coli in Kuitun was not high,while the resistance rates to commonly used drugs such as amoxicillin/clavulanic acid and apramycin were high.It suggested that this kinds of antimicrobial drugs should be replaced or avoid using to treat bacterial diseases.In addition,the antimicrobial resistance between farms was different,indicating the farms medicine would impact the drug resistance in bacteria.     

Nonenteric Escherichia coli isolates from dogs: 674 cases (1990-1998)

OBJECTIVE: To determine nonenteric sites associated with Escherichia coli isolates in dogs and the antimicrobial susceptibilities of the isolates. DESIGN: Retrospective study. SAMPLE POPULATION: 17,000 canine specimens. PROCEDURE: Medical records of 17,000 canine specimens submitted for bacteriologic culture were examined and the number of isolations of E coli was determined. For these cases, records were further examined with respect to body system involvement, sex, concurrent infection with other species of bacteria, and antimicrobial susceptibility. RESULTS: 674 E coli isolates (424 from urine, 62 from the skin, 52 from the respiratory tract, 45 from the ear, 43 from the female reproductive tract, 25 from the male reproductive tract, and 23 from other organ systems) were identified. There was a significantly higher proportion of isolates from urine specimens from spayed females than from sexually intact females or males. Escherichia coli was isolated in pure culture from 65.9% of the specimens. Most E coli isolates were susceptible to norfloxacin (90%), enrofloxacin (87.5%), gentamicin (90.7%), and amikacin (85.9%). CONCLUSIONS AND CLINICAL RELEVANCE: Most nonenteric E coli infections in dogs involve the urinary tract. Amikacin, gentamicin, norfloxacin, and enrofloxacin have the highest efficacy against canine E coli isolates. For E coli isolates from dogs, in vitro susceptibility to commonly used antimicrobial agents has remained fairly stable during the past decade.     

新疆奎屯地区不同团场牛源大肠杆菌耐药情况比较

为了解新疆奎屯地区不同团场牛源大肠杆菌对临床常用抗菌药物的耐药情况,比较不同养殖场之间牛源大肠杆菌的耐药差异,分别从新疆奎屯地区位于123团、127团和128团的牛场,用肛拭子在直肠采集粪样各30份,并分离大肠杆菌。采用微量肉汤稀释法,对分离出的大肠杆菌进行10种抗菌药物最小抑菌浓度的测定,通过卡方检验对不同养殖场牛源大肠杆菌耐药差异性进行比较分析。结果显示,128团对阿莫西林/克拉维酸（33.3%）和安普霉素（23.3%）耐药率相对较高;127团对氨苄西林（20.0%）、阿莫西林/克拉维酸（16.7%）和氟苯尼考（16.7%）耐药率相对较高;123团场对氨苄西林（13.3%）和安普霉素（13.3%）耐药率相对较高。卡方检验结果显示,127团对氟苯尼考和恩诺沙星的耐药率显著高于123团和128团（P<0.05）;128团对阿莫西林/克拉维酸和安普霉素的耐药率分别显著高于123团和127团（P<0.05）。不同团场多重耐药均以1～2耐为主。结果表明,新疆奎屯地区不同团场牛源大肠杆菌对多数被检药物的耐药率不高,仅对常用药物如阿莫西林/克拉维酸和安普霉素等具有较高耐药率,需在临床治疗细菌疾病时更换或避免使用此类抗菌药物。此外,各养殖场对被检抗菌药物的耐药情况不同,说明养殖场的用药极大程度影响细菌的耐药性。     

Emerging antimicrobial resistance in commensal Escherichia coli with public health relevance

In 2009, 1462 Escherichia coli isolates were collected in a systematic resistance monitoring approach from primary production, slaughterhouses and at retail and evaluated on the basis of epidemiological cut-off values. Besides resistance to antimicrobial classes that have been extensively used for a long time (e.g. sulphonamides and tetracyclines), resistance to (fluoro)quinolones and third-generation cephalosporins was observed. While in the poultry production chain the majority (60%) of isolates from laying hens was susceptible to all antimicrobials tested, most isolates from broilers, chicken meat and turkey meat showed resistance to at least one (85-93%) but frequently even to several antimicrobial classes (73-84%). In the cattle and pig production chain, the share of isolates showing resistance to at least one antimicrobial was lowest (16%) in dairy cows, whereas resistance to at least one antimicrobial ranged between 43% and 73% in veal calves, veal and pork. Resistance rates to ciprofloxacin and nalidixic acid in isolates from broilers were 41.1% and 43.1%, respectively. Likewise, high resistance rates to (fluoro)quinolones were observed in isolates from chicken meat and turkey meat. In contrast, ciprofloxacin resistance was less frequent in E.?coli isolates from the cattle and pig production chain with highest rate in veal calves (13.3%). Highest resistance rates to cephalosporins were observed in broilers and chicken meat, with 5.9% and 6.2% of the isolates showing resistance. In dairy cattle and veal, no isolates with cephalosporin resistance were detected, whereas 3.3% of the isolates from veal calves showed resistance to ceftazidime. Resistance to (fluoro)quinolones and cephalosporins in E.?coli isolates is of special concern because they are critically important antimicrobials in human antimicrobial therapy. The emergence of this resistance warrants increased monitoring. Together with continuous monitoring of antimicrobial usage, management strategies should be regularly assessed and adapted.     

Antimicrobial resistance in enteric pathogens isolated from Minnesota pigs from 1995 to 2004

This study investigated the occurrence and antimicrobial resistance profiles of Escherichia coli and Salmonella sp. isolated from swine samples submitted to the Minnesota Veterinary Diagnostic Laboratory (MVDL) in Saint Paul, Minnesota from 1995 to 2004. During this time period, a total of 5072 E. coli and 2793 Salmonella sp. was isolated. Most of these isolates were found to be resistant to the tetracycline and beta-lactam group of antibiotics. Resistance to spectinomycin was also frequently observed. An increasing trend in ampicillin resistance and a decreasing trend in apramycin resistance were seen in both pathogens, although ampicillin resistance was relatively higher in E. coli than in Salmonella. Aminoglycoside (amikacin) and quinolone (enrofloxacin) were the only antimicrobials to which minimum or no resistance was observed. The resistance of pig pathogens to several antibiotics indicates the need to routinely monitor the use of these antimicrobials and their associated resistance in pig populations.     

河南省鸡源大肠杆菌的分离鉴定与耐药性分析

为了掌握河南省鸡源大肠杆菌的耐药性情况,从规模化鸡场抽取样品120批,通过细菌的分离、纯化,采用BD Phoenix^TM-100全自动微生物鉴定系统对分离的大肠杆菌进行鉴定,并通过微量肉汤稀释法对分离菌株进行药物敏感性分析。结果显示,共分离菌株100株,分离率为83.3%。分离菌株对四环素、氨苄西林、磺胺异噁唑、恩诺沙星、复方新诺明耐药严重,耐药率均在80%以上,表明河南省鸡源大肠杆菌耐药情况较为严重。     

Development of antimicrobial drug resistance in rectal Escherichia coli isolates from dogs hospitalized in an intensive care unit

OBJECTIVE: To determine whether duration of hospitalization in the intensive care unit (ICU) of a veterinary teaching hospital was associated with prevalence of antimicrobial resistance among rectal Escherichia coli isolates from dogs, whether antimicrobial treatment was associated with prevalence of antimicrobial resistance, and whether there were associations among antimicrobial drugs to which isolates were resistant. DESIGN: Prospective observational study. ANIMALS: 116 dogs hospitalized in an ICU for >or= 3 days. PROCEDURES: Rectal swab specimens were obtained every 3 days and submitted for bacterial culture for E coli. Isolates were tested for susceptibility to 12 antimicrobial agents by means of disk diffusion. RESULTS: For each additional day that a dog was hospitalized in the ICU, the odds of being colonized with an E coli isolate resistant to 1 or more of the 12 antimicrobials tested increased by a factor of 1.5, independent of antimicrobial treatment. Dogs that were treated with enrofloxacin were 25.6 times as likely to be colonized by a quinolone-resistant E coli strain as were dogs that did not receive any antimicrobials. Significant correlations were found for resistance to agents in the extended-spectrum cephalosporin group and the quinolone group. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that the proportion of rectal E coli isolates obtained from dogs housed for >or= 3 days in a veterinary teaching hospital ICU that were resistant to antimicrobial agents increased as the duration of hospitalization in the ICU increased. Thus, ICU hospitalization time should be as short as possible to prevent development of antimicrobial resistance among rectal E coli isolates.     

广东地区2007～2009年禽源大肠杆菌的耐药性演变

通过对2007～2009年内从广东省10多个地市分离得到的378株禽源大肠杆菌进行15种兽医临床常用抗生素的药物敏感性试验(MIC),调查该区域禽类大肠杆菌的耐药性演变情况.采用琼脂稀释法对临床分离株开展MIC测试.结果显示临床分离株对多数兽医临床常用抗生素耐药率在30 ％以上,且有逐年上升的趋势,多数药物的半数抑菌浓度( MIC50)和有效抑菌浓度( MIC90)水平高且保持逐年升高的趋势;细菌的多重耐药情况严重,多集中在5～12耐,提示细菌的耐药能力逐渐提高.表明,广东地区禽源大肠杆菌的耐药水平已经达到了较为严重的程度,应加强食用动物源细菌耐药性的监测.     

Serogroups and antimicrobial susceptibility among Escherichia coli isolated from farmed mink (Mustela vison Schreiber) in Denmark

Escherichia coli is commonly found in outbreaks of diarrhoea in mink during the production season although its role as a primary causal organism remains unclear. The present study was undertaken to determine the serogroups and antimicrobial susceptibility of E. coli isolates from healthy and diarrhoeic mink. Rectal swabs were taken from healthy and diseased animals, on six different farms, once at the onset of disease and again approximately 2 weeks later. The swabs were subjected to bacteriological investigation; a total of 210 E. coli were isolated, 98 from healthy animals and 112 from diseased. All isolates were serotyped and MICs were determined for nine antimicrobial compounds. Non-haemolytic isolates numbered 147, whereas 63 were haemolytic. Both haemolytic and non-haemolytic isolates were isolated from both healthy and diseased animals.A wide range of serogroups was detected, the most frequent being O2 (11.0%), O78 (11.0%), O153 (7.1%), O25 (5.7%), O6 (4.8%), and O15 (4.8%), but diarrhoea was not associated with specific serogroups. All isolates were sensitive to enrofloxacin, neomycin, gentamicin and colistin. In contrast, considerable variations in susceptibility were found among the six mink farms, for tetracycline (0-46.4%, average 21.9), ampicillin (2.9-50.0%, average 23.3), spectinomycin (8.0-35.7%, average 21.9), sulfamethoxazole (8.6-57.7%, average 30.0) and trimethoprim (0-35.7%, average 9.5). Resistance to tetracycline was statistically more prevalent among haemolytic than among non-haemolytic strains.In conclusion, serogrouping and haemolysin testing failed to identify any association with diarrhoeal disease and antimicrobial resistance was highly variable between different mink farms.     

广东地区猪源大肠杆菌耐药性及其系统发育群的研究简

为分析广东地区猪源大肠杆菌耐药性及其系统进化背景,试验于2011年从患病猪分离出264株大肠杆菌,包括粪便源131株和肝源133株,采用琼脂稀释法测定18种抗菌药物的敏感性,多重PCR法确定系统进化关系,并对不同来源菌株的耐药性和系统进化背景进行分析比较。结果发现,大肠杆菌多重耐药现象严重,共存在128种耐药谱型。分离菌株对氨苄西林、复方新诺明、萘啶酸和四环素高度耐药,对黏菌素、头孢他啶和阿米卡星较敏感。种群进化分析结果表明,分离菌株主要分布在共生型的A组和B1组（91.66%）,且不同来源菌株的种群进化分布差异不显著(P＞0.05)。结合药敏试验结果发现,不同进化组别的分离菌株对特定抗菌药物的耐药性存在显著差异（P＜0.05）。通过对大肠杆菌耐药性及其系统发育群进行综合分析,为兽医临床用药提供依据。     

The In Vitro Activity of 15 Antimicrobial Agents against Bacterial Isolates from Dogs

The in vitro activity of 15 antimicrobial agents against clinical isolates of Staphylococcus pseudintermedius, Staphylococcus aureus, Escherichia coli, Pasteurella spp. and Streptococcus canis from dogs was investigated. For Staphylococcus spp., the highest frequency of resistance was observed for penicillin, followed by ampicillin, tetracycline and chloramphenicol. The highest frequency of resistance in E. coli isolates was recorded for tetracycline and streptomycin. Pasteurella spp. and S. canis had the highest resistance rate for tetracycline and chloramphenicol. Most isolates showed full susceptibility to low-level resistance to colistin, florfenicol and fluoroquinolones. Further studies using larger number of isolates from both healthy and diseased dogs would provide a broader picture of antimicrobial resistance at a national level and promote prudent use of antimicrobial agents in companion animals.     

The effect of rehabilitation of northern elephant seals (Mirounga angustirostris) on antimicrobial resistance of commensal Escherichia coli

The aim of this study was to determine if antimicrobial drug use increases resistance of commensal gastrointensinal Escherichia coli of wild northern elephant seals (Mirounga angustirostris) treated in rehabilitation, and, if so, identify the risk factors involved. Minimum inhibitory concentration (MIC) levels of twelve antimicrobial drugs were determined for 289 E. coli isolates from 99 seals sampled at admission and 277 isolates obtained at release from rehabilitation using broth microdilution. Prevalence of E. coli antimicrobial resistance, MIC(50), MIC(90), and clustering of MIC values were determined for seals and the data were analyzed using Fisher's exact test, ordinal logistic regression and negative binomial regression. At release from rehabilitation 77.8% of the seals had antimicrobial resistant E. coli compared to 38.4% of the seals at admission. The MIC(90) for amoxicillin-clavulanic acid, chloramphenicol, enrofloxacin, ticarcillin-clavulanic acid, and trimethoprim-saulfamethoxazole were at levels considered to be sensitive at admission but they increased to levels of resistance at release. E. coli were grouped into four clusters by their MIC values, with increasing levels of resistance going from Cluster 1 to 4. A primary risk factor associated with the probability of a seal having E. coli in Clusters 3 and 4 was time in rehabilitation, regardless of whether the animal received treatment with antimicrobial drugs, suggesting nosocomial infection. The results of this study provide evidence that increased levels of hygiene and appropriate use of antimicrobial therapy might be important in the rehabilitation of wild animals to prevent rise in the prevalence of antimicrobial resistant bacteria.     

鸡源大肠杆菌质粒介导的氟喹诺酮类药物耐药基因qnrA的分子检测

对2005年~2007年从豫北地区临床分离的377株鸡源大肠杆菌进行生化鉴定,MIC值测定。被测菌株对氟喹诺酮类（FQs）药物恩诺沙星、环丙沙星和诺氟沙星均呈严重耐药,耐药率分别为94.9%、93.9%、94.9%。选取对恩诺沙星耐药（MIC>32 μg/ml）的235株大肠杆菌进行qnr基因的分子检测,结果显示仅有1株大肠杆菌（MIC=128 μg/ml）呈qnr基因阳性,经测序分析该基因命名为qnrA。     

Drug resistance in strains of Escherichia coli isolated from the intestinal tract of pigs in Norway.

Faecal samples from 95 healthy pigs and samples of jejunal content from 85 piglets suffering from colienterotoxaemia were tested for the presence of drug resistant E. coli strains. Practically all pigs in both groups harboured E. coli strains resistant to one or more of the 6 antibiotics/chemotherapeutic agents tested (Oxytetracycline, streptomycin, sulphaisodimidin, neomycin, ampicillin, chloramphenicol). Almost 100% of healthy and approx. 90% of diseased pigs harboured strains resistant to Oxytetracycline, streptomycin and sulphaisodimidin. Pigs with strains resistant to neomycin, ampicillin and chloramphenicol were less frequently found. The predominant coliform flora consisted of E. coli strains” resistant to Oxytetracycline, streptomycin and sulphaisodimidin in 71% to 81% of diseased pigs and in 47% to 69% of the healthy pigs. In diseased pigs ¾ of the animals had a coliform flora dominated by neomycinresistant E. coli strains.Of the 721 resistant E. coli strains isolated from healthy pigs, 11% were single resistant while the corresponding figure for the 518 resistant strains isolated from diseased pigs was 6%. Thus 89% and 94% of strains showed simultaneous resistance to 2 or more antibiotics. E. coli strains resistant to 3 or more drugs were found in approx. 60% and 70% of the isolates from healthy and diseased animals, respectively. Oxytetracycline/streptomycin/sulphaisodimidin resistance was most commonly found, approx. 22% and 38% of the strains from healthy and diseased pigs, respectively, showing this resistance pattern.Transmission of drug resistance which was examined in E. coli strains originating from the diseased pigs was demonstrated in approx. 76% of the isolates. The incidence of drug resistance transfer in single, double, triple and quadruple resistant strains was 11%, 68%, 97% and 98%, respectively.     

种鹅大肠杆菌分离鉴定及耐药性分析

为了解种鹅致病性大肠杆菌病的病原及其药物敏感性,2012年从广东地区患病种鹅器官和粪便中分离鉴定了62株大肠杆菌,采用琼脂稀释法测定了大肠杆菌对17种抗菌药物的敏感性。结果发现大肠杆菌耐药性严重,对大部分药物的耐药率超过60.0%,仅对头孢西丁、头孢他啶和黏菌素较敏感。联合药敏试验结果显示多西环素和氟苯尼考联用对耐药大肠杆菌产生协同抑菌作用,FIC指数为0.375～0.75。采用脉冲场凝胶电泳（PFGE）法对24株大肠杆菌进行分型,结果分为17种不同的PFGE型别。大肠杆菌系统进化分群结果显示43.5%属于系统进化组群的D组,其次是A组和B1组,分别为34.8%和21.7%,B2组未检测到。通过对种鹅大肠杆菌耐药性、PFGE分型及其系统发育群进行综合分析,为临床用药提供了参考依据。     

Antimicrobial susceptibility of pathogenic Escherichia coli isolated from pigs in Korea

The in vitro susceptibilities of 285 isolates of Escherichia coli from preweaned and postweaned pigs with diarrhea and edema disease were tested with the 15 commonly used antimicrobial drugs by an agar dilution minimal inhibitory concentration procedure according to National Committee for Clinical Laboratory Standards (NCCLS) guidelines. All E. coli isolates tested in this study belonged to enterotoxigenic E. coli, attaching and effacing E. coli, or Shiga toxin-producing E. coli. Field isolates had low MIC90 for ceftiofur (1 microg/ml). No correlation in antimicrobial resistance was found in three types of E. coli.     

Bacterial isolates from equine infections in western Canada (1998-2003)

All bacterial samples of equine origin submitted to the diagnostic laboratory at the Western College of Veterinary Medicine from January 1998 to December 2003 from either "in-clinic" or Field Service cases were accessed (1323 submissions). The most common bacterial isolates from specific presenting signs were identified, along with their in vitro antimicrobial susceptibility patterns. The most common site from which significant bacterial isolates were recovered was the respiratory tract, followed by wounds. Streptococcus zooepidemicus was the most common isolate from most infections, followed by Escherichia coli. Antimicrobial resistance was not common in the isolates and acquired antimicrobial resistance to multiple drugs was rare. The results are compared with previous published studies from other institutions and used to suggest appropriate antimicrobial treatments for equine infections in western Canada.     

内蒙古地区羊源大肠杆菌耐药性研究

为确定内蒙古地区羊源大肠杆菌的耐药表型及其耐药基因的流行情况,本研究采用微量稀释法测定了内蒙古地区108株羊源大肠杆菌对13种临床常用抗菌药物的最小抑菌浓度。结果显示,分离菌株对阿莫西林、头孢噻吩、磺胺甲唑、黏菌素的耐药率最高,均达100.0%,对阿莫西林/克拉维酸、四环素、环丙沙星的耐药率在50%~80%之间,对头孢噻肟、美洛培南、新霉素的耐药率均低于10%,较为敏感。108株羊源大肠杆菌中耐7种以上药物的菌株占94.4%,其中15.6%菌株对13种抗菌药物耐药,只有1株菌对所有抗菌药物敏感。采用PCR方法对羊源大肠杆菌分离株所携带的6种相关耐药基因进行检测,结果显示,6种耐药基因中的4种耐药基因bla_TEM、proP-2、sul-Ⅰ、ampG检出率超过50%,耐药基因aph（3'）-Ⅰ携带率达40%,只有耐药基因aac（3）-Ⅱ检出率仅为5.5%。由此可见,内蒙古地区羊源大肠杆菌对13种抗菌药物产生了不同程度的耐药性,且存在严重的多重耐药情况,羊源大肠杆菌分离株携带aph（3'）-Ⅰ、sul-Ⅰ、ampG、bla_TEM、proP-2、aac（3）-Ⅱ耐药基因。