Antibiotics are natural, semi-synthetic, or chemical compounds that have anti-microbial activity and are used in livestock and poultry production for a variety of reasons, including therapeutic and growth promotion. The use of antibiotics in poultry production has been associated with the development of resistant bacteria. The present study attempted to explain the role of antibiotics as poultry growth promoters, bacterial resistance, and risks for human health, with a special focus on some selected bacterial species isolated from poultry farms and products. Furthermore, the manuscript reviewed the literature on alternative feed additives to reduce the reliance on antibiotics. Microbial resistance is a significant global health concern that has been a top global threat in the 21st century. The use of antibiotics in poultry production as non-therapeutic or growth promoters is at low doses and continuously, associated with developing resistant bacteria. Meanwhile, antibiotic-resistant genes in humans may have their roots in the diets of animals treated with antibiotics. Developing bacterial resistance has encouraged researchers to reduce the reliance on antibiotics by identifying potential feed additives, such as essential oils, bacteriophages, antimicrobial peptides, probiotics, prebiotics, organic acid, and enzymes that improve the immune system functions, reduce morbidity and mortality, improve the growth performances of poultry, and preserve consumer health.