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ABSTRACT Drug resistance is currently recognized as a global problem. This study aimed to investigate the prevalence and antibiotic susceptibility pattern of multi-drug resistant (MDR) E. coli in broiler chickens, slaughter workers, and related specimens. Swab specimens were collected during the slaughter process from broiler carcasses, organs, workers’ hands, and various utensils. Bacterial culture, biochemical analysis, and antimicrobial susceptibility testing were conducted on the isolated specimens. Out of a total of 1132 swab specimens, 294 (25.97%) tested positive for E. coli. The highest percentage (39.76%) was found in workers’ hand specimens, followed by different slaughter utensils and walls. Antimicrobial susceptibility tests revealed complete resistance to ampicillin (100%). High resistance rates were observed for tetracycline (91.50%), chloramphenicol (91.16%), nalidixic acid (86.05%), ciprofloxacin (77.55%), colistin (77.21%), trimethoprim/sulfamethoxazole (72.45%), kanamycin (71.09%), doxycycline (70.07%), ceftazidime (69.05%), ampicillin-sulbactam (53.06%), and gentamicin (50.34%). On the other hand, 60.20% of the isolates showed sensitivity to amikacin, followed by ceftriaxone (41.50%) and norfloxacin (37.76%). MDR was observed in 99.32% (292 isolates), with 28.23% of them being potentially classified as extensively drug-resistant (XDR). The MAR index of the E. coli isolates ranged from 0.2 to 1.0, displaying 190 different resistant patterns. The high prevalence of MDR among E. coli isolates from broiler chickens and related specimens, along with their resistance to important antibiotics, is a significant public health concern. problem multidrug multi drug (MDR E workers carcasses organs hands culture analysis 113 29 25.97% 2597 25 97 (25.97% 39.76% 3976 39 76 (39.76% walls 100%. 100 100% . (100%) 91.50%, 9150 91.50% , 91 50 (91.50%) 91.16%, 9116 91.16% 16 (91.16%) 86.05%, 8605 86.05% 86 05 (86.05%) 77.55%, 7755 77.55% 77 55 (77.55%) 77.21%, 7721 77.21% 21 (77.21%) trimethoprimsulfamethoxazole trimethoprim sulfamethoxazole 72.45%, 7245 72.45% 72 45 (72.45%) 71.09%, 7109 71.09% 71 09 (71.09%) 70.07%, 7007 70.07% 70 07 (70.07%) 69.05%, 6905 69.05% 69 (69.05%) ampicillinsulbactam sulbactam 53.06%, 5306 53.06% 53 06 (53.06%) 50.34%. 5034 50.34% 34 (50.34%) 6020 60 20 60.20 amikacin 41.50% 4150 41 (41.50% 37.76%. 3776 37.76% 37 (37.76%) 9932 99 32 99.32 292 (29 isolates, isolates) 2823 28 23 28.23 drugresistant XDR. XDR (XDR) 02 0 2 0. 10 1 1.0 19 patterns antibiotics concern 11 25.97 259 9 (25.97 39.76 397 3 7 (39.76 (100% 915 91.50 5 (91.50% 911 91.16 (91.16% 860 86.05 8 (86.05% 775 77.55 (77.55% 772 77.21 (77.21% 724 72.45 4 (72.45% 710 71.09 (71.09% 700 70.07 (70.07% 690 69.05 6 (69.05% 530 53.06 (53.06% 503 50.34 (50.34% 602 60.2 41.50 415 (41.50 377 37.76 (37.76% 993 99.3 (2 282 28.2 (XDR 1. 25.9 (25.9 39.7 (39.7 (100 91.5 (91.50 91.1 (91.16 86.0 (86.05 77.5 (77.55 77.2 (77.21 72.4 (72.45 71.0 (71.09 70.0 (70.07 69.0 (69.05 53.0 (53.06 50.3 (50.34 60. 41.5 (41.5 37.7 (37.76 99. ( 28. 25. (25. 39. (39. (10 91. (91.5 (91.1 86. (86.0 77. (77.5 (77.2 72. (72.4 71. (71.0 70. (70.0 69. (69.0 53. (53.0 50. (50.3 41. (41. 37. (37.7 (25 (39 (1 (91. (86. (77. (72. (71. (70. (69. (53. (50. (41 (37. (3 (91 (86 (77 (72 (71 (70 (69 (53 (50 (4 (37 (9 (8 (7 (6 (5