The study examined 45 raw cow milk samples from Uasin Gishu County for contamination by Staphylococcus aureus, finding a 60% prevalence. Most isolates showed high resistance to ampicillin and co-trimoxazole, while being susceptible to gentamycin and sulfamethoxazole; multidrug resistance was also observed. The findings highlight the urgent need for effective preventive measures against mastitis and vigilant antibiotic stewardship.