One health call to ensure human, animal and environment safety put on a major responsibility on the animal health care sector starting with identifying the circulating pathogens and its multi drug resistant (MDR) patterns. This study was conducted on total 283 diseased broilers collected from small broilers flocks in Giza and El-Kalubia province, Egypt. The clinical signs and autopsy findings were highly suggestive for: Infectious Bronchitis (IB), Avian Influenza (AI), Newcastle Disease (ND), and Chicken Infectious Anemia (CIA). Trachea, lungs, and kidney were collected during the autopsy and examined using molecular tests (PCR & RT-PCR) for rapid diagnosis of the viral pathogen revealing a high incidence of IB and CIA (71.4 and 61.3%, respectively). The 165 liver and intestine samples of the virally infected broilers were subjected to bacteriological examination and all were positive for Escherichia coli (E. coli) or salmonella or both representing an extra challenge facing the infected flocks. E. coli isolates were serotyped into O125, O158 and O111 while Salmonella were serogrouped into: S. entraitidis, S. gaille and S. altona. The MDR pattern was identified by disk diffusion method using 12 different antimicrobial discs: (nalidixic acid, neomycin, trimethoprim, streptomycin, norfloxacine, sulfamethazine, chloramphenicol, tetracycline, doxycycline, oxytetracycline, gentamycin, and fosfomycine). The results showed complete resistance to sulfamethazine, nalidixic acid and oxytetracycline. High resistance to chloramphenicol, trimethoprim, tetracycline, and streptomycin, low resistance to gentamycin, and all isolates were sensitive to fosfomycine. This study revealed MDR bacterial pathogens are highly prevalent among the small poultry flocks and greatly interacts with the viral avian diseases here in Egypt.