[Fungal infections of the lower urinary tracts in urological patients].

AIM: To examine etiological structure of fungal infections of the lower urinary tract (LUTI) in urological patients.

MATERIAL AND

METHODS

The mycological screening of the urine in 52 patients (36 males and 16 females aged 21-83 years (mean age 63.6 years) was made by a E. W. Koneman modified technique, bacteriological analysis was standard.

RESULTS

Ten strains of fungal agents were identified. Fungal LUTI was detected in 3, mixed infection (fungal and bacterial) was in 7 patients. Seven Candida strains, one Cryptococcus unigutulatus and two Trichosporon asahii strains were isolated. Previous long-term antimicrobial therapy and drainage of the lower urinary tract predisposed to fungal infection most frequently.

CONCLUSION

High occurrence offungal LUTI in etiological structure of hospital urinary tract infections dictates the necessity of mycological diagnosis in urological patients. Prevalence of Candida non-albicans strains and isolation of rare fungi C. unigutulatus and T. asahii were registered. Most of fungal strains were sensitive in vitro to fluconasol.