Best Practices in Treatment of Fungal Urinary Tract Infections

Urol Clin North Am. 2024 Nov;51(4):483-492. doi: 10.1016/j.ucl.2024.06.006. Epub 2024 Aug 17.

Abstract

Fungal pathogens within the urine, specifically Candida species, are a common finding amongst hospitalized patients. Risk factors for the development of candiduria involve patients with indwelling urinary drainage devices, surgical patients, patients undergoing urologic instrumentation, and diabetic patients. Candiduria often presents with an asymptomatic course but can also be a severe life-threatening process. This article will review the epidemiology and risk factors associated with fungal urinary tract infections, and the diagnosis and categorization of these infections along with a review of current medical and surgical treatments for this condition.

Keywords: Amphotericin B; Candiduria; Fluconazole; Funguria; Fungus ball; Urinary tract infection.

Publication types

  • Review

MeSH terms

  • Antifungal Agents* / therapeutic use
  • Candidiasis / diagnosis
  • Candidiasis / epidemiology
  • Candidiasis / therapy
  • Humans
  • Risk Factors
  • Urinary Tract Infections* / diagnosis
  • Urinary Tract Infections* / epidemiology
  • Urinary Tract Infections* / microbiology
  • Urinary Tract Infections* / therapy

Substances

  • Antifungal Agents