Cross-domain antimicrobial resistance in poultry farming: A One Health assessment of antimicrobial use and multidrug resistance in Kiambu County, Kenya

High AMU in poultry farming, particularly of macrolides, tetracyclines, and sulfonamides, has created significant selection pressure, contributing to MDR emergence across One Health interfaces. Detection of resistance in humans, poultry, and shared environments underscores the bidirectional risk of AMR transmission. Strengthened antimicrobial stewardship, regulation of critically important antimicrobials, and enhanced farm hygiene are essential to mitigate AMR. These findings directly support Kenya's Vision 2030 and SDGs targeting health, responsible production, and environmental protection.