Abstract:[Background] The bovine diarrheal syndrome, caused by single or multiple pathogen infections, significantly restricts the development of the cattle industry. Rapid and accurate pathogen diagnosis is crucial for disease control. [Objective] To establish a one-step multiplex PCR/RT-PCR method for detecting 11 bacterial and viral pathogens causing bovine diarrhea, facilitating rapid pathogen diagnosis. [Methods] We identified the main pathogens causing bovine diarrhea and appropriate high-coverage primers by literature searching. According to the searching results, we selected primers for the following target genes: Clostridium perfringens α-toxin, Salmonella enterica invA, Escherichia coli K99, bovine enterovirus (BEV) 5'-UTR, bovine astrovirus (BAstV) ORF1a, bovine rotavirus (BRoV) VP6, bovine kobuvirus (BKoV) D4, bovine norovirus (BNoV) ORF1, bovine coronavirus (BCoV) N, bovine torovirus (BToV) N, and bovine viral diarrhea virus (BVDV) 5'-UTR. After optimization of the annealing temperature with the temperature gradient PCR method as well as the primer concentration and cycle number with the single factor test method, we established a one-step multiplex PCR/RT-PCR method for detecting the 11 pathogens. The specificity, sensitivity, and repeatability of the method were evaluated, and then the method was employed to detect clinical samples. [Results] The optimal annealing temperature was 54.4 ℃. The optimal concentrations of primers for the target genes in C. perfringens, S. enterica, E. coli, BEV, BAstV, BRoV, BKoV, BNoV, BCoV, BToV, and BVDV were 0.20, 0.25, 0.25, 0.20, 0.25, 0.25, 0.35, 0.50, 0.25, 0.25, and 0.30 μmol/L, respectively. The optimal number of cycles was 35. The established method demonstrated high specificity, yielding positive results only for the target pathogens and negative results for Mannheimia haemolytica, Streptococcus pyogenes, and Mycoplasma bovine. This method exhibited high sensitivity, with the lowest limits of detection of the recombinant plasmid standards being 7.5×103, 7.5×104, 7.5×103, 7.5×101, 7.5×104, 7.5×102, 7.5×103, 7.5×102, 7.5×102, 7.5×104, and 7.5×103 copies/μL, respectively. The method showed good reproducibility, with consistent inter-batch and intra-batch test results. We then used the established method to detect 490 clinical samples from Jiangsu. The positive rates for BEV, BAstV, BRoV, BKoV, BNoV, BCoV, BToV and BVDV were 0.61%, 0.41%, 0.61%, 0.21%, 27.14%, 3.27%, 0.21%, and 1.02%, respectively. The results of the one-step multiplex PCR/RT-PCR method in clinical samples were consistent with those of single PCR. Sequencing verification of 50 randomly selected positive PCR products confirmed the presence of genes corresponding to the identified pathogens. [Conclusion] We successfully established a one-step multiplex PCR/RT-PCR method for the simultaneous detection of 11 major pathogens causing bovine diarrhea.