Best Practices in Treatment of Fungal Urinary Tract Infections

Area of Science:

• Urology
• Infectious Diseases
• Mycology

Background:

• Fungal pathogens, particularly Candida species, are frequently detected in the urine of hospitalized individuals.
• Candiduria (fungal presence in urine) is associated with specific patient populations including those with urinary drainage devices, post-surgical status, urologic instrumentation, and diabetes mellitus.

Purpose of the Study:

• To comprehensively review the epidemiology and risk factors contributing to fungal urinary tract infections.
• To discuss the diagnostic approaches and classification of candiduria.
• To provide an overview of current therapeutic strategies, encompassing both medical and surgical interventions.

Main Methods:

• Literature review of epidemiological data on fungal urinary tract infections.
• Analysis of risk factors associated with candiduria development.
• Synthesis of current diagnostic criteria and treatment guidelines for fungal UTIs.

Main Results:

• Candiduria is prevalent in specific hospitalized patient groups.
• Risk factors include indwelling urinary devices, surgery, urologic procedures, and diabetes.
• The clinical presentation ranges from asymptomatic to life-threatening.

Conclusions:

• Understanding the epidemiology and risk factors is crucial for managing candiduria.
• Accurate diagnosis and categorization guide appropriate treatment selection.
• Current medical and surgical treatments offer various options for addressing fungal UTIs.