Abstract:[Background] Escherichia coli is the main pathogen causing diarrhea and the emerging of the drug-resistant strains has aroused wide concern. [Objective] To understand the prevalence of drug resistance and drug resistance genes of E.coli causing calf diarrhea in Tongliao city, Inner Mongolia Autonomous Region. [Methods] Forty samples of calves suffering from diarrhea were collected from multiple banners and counties of Tongliao, from which 20 strains of E.coli were isolated and identified via 16S rRNA gene sequencing. Drug sensitivity test and PCR were conducted to study the drug resistance and drug resistance genes of the isolated strains. The whole genome of a multi-drug resistant strain was sequenced. [Results] All the 20 isolates had multi-drug resistance and showed the drug resistance rate above 80% to streptomycin, ciprofloxacin, enrofloxacin, and compound sulfamethoxazole. The detection rates of aphA1, strB, TEM-1, and qnrS were 100%. The strain TL-13 had the genome size of 4 897 185 bp and the GC content of 50.68%, and it carried two plasmids with the sizes of 108 288 bp (pTL13-1) and 64 018 bp (pTL13-2), respectively. The plasmids carried 18 mobile drug resistance genes. [Conclusion] The E.coli strains causing calf diarrhea in Tongliao generally have multi-drug resistance, and the four common resistance genes were prevalent.