Food animal production is important for every country. Several antibiotic agents are used in poultry farming to reduce the economic losses arising from mostly untested, infectious diseases. This continued study was performed to determine the prevalence of antibiotic resistant Salmonella in broiler chickens, poultry farmers, and Salmonella-bacteremia patients. A total of 121 Salmonella isolates were collected from the Thai provinces of Khon Kaen (65 isolates), Ratchaburi (43 isolates), and Phayao (13 isolates). Salmonella from chicken showed a high rate of resistance to nalidixic acid and tetracycline. Sixty-four percent of Salmonella carried class 1 integron (intI1 gene positive). Among 121 Salmonella isolates, there were 15 serotypes, with Enteritidis the most common. A clonal relationship between the chicken and human isolates was demonstrated by three molecular typing methods: Enterobacterial Repetitive Intergenic Consensus Polymerase Chain Reaction; Pulsed-Field Gel Electrophoresis; and High-Throughput, Multilocus Sequence Typing. A spread of the sequence type 11 (ST11) clone was found between chickens and humans. This study revealed a large-scale Salmonella outbreak in Thailand, a link between resistant bacteria from poultry farms and vertical transmission through the food chain, and a horizontal transmission of resistance genes. These results can be used for future surveillance and monitoring. A c c e p t e d M a n u s c r i p t The study was approved by the Siriraj Institutional Review Board. Sample collection There were 121 Salmonella isolates from cloacal swabs of chickens, rectal swabs of chicken farmers, and blood isolates of patients, with 65 isolates from Khon Kaen, 43 from Ratchaburi, and 13 from Phayao, in 2012-2013. Only 81 isolates could be tested for their phenotype: 40 Salmonella chicken samples of the Ratchaburi Veterinary Research and Development Center only had total DNAs and plasmids for genotypic tests due to an agreement with this site. We additionally included 37 additional Salmonella isolated from bacteremic patients in Bangkok for High-Throughput, Multilocus Sequence Typing.