Abstract:Objective To explore the risk factors and pathogenic characteristics of nosocomial fungal urinary tract infection (NFUTI) in the geriatric wards. Methods All the 1 122 patients with urinary tract infection in our geriatric wards from January 2009 to December 2014 were enrolled in this study. According to the collected clinical data, they were divided into NFUTI and non-NFUTI groups. Their infectious conditions in the urinary tract were analyzed. Results There were significant differences in the serum levels of hemoglobin and albumin, the patient numbers of intensive care unit (ICU), previous indwelling catheterization, and previous use of antibiotics between the NFUTI group and non-NFUTI group (P＜0.05). Multivariate regression analysis showed ICU hospitalization, previous use of antibiotics, lower level of serum albumin were the risk factors for NFUTI. Among NFUTI, the common fungi isolated from the urine samples were Candida albicans, Candida glabrata, Candida tropicalis, Candida parapsilosis and Candida famata in order. The proportions of fungal infection and non-Candida albicans infection were significantly higher in the patients of ICU than those in non-ICU (both P＜0.05). Conclusion In geriatric wards, effective surveillances in ICU, strictly following antibiotic indications and enhancing nutritional support may decrease the incidence of NFUTI. Fungi, especially non-Candida abicans, have a higher detection rate in ICU, which should be paid more attention by the clinicians.