Is candida in the urine a true UTI?

Maybe. Likely not.

You may see Candida growing because of a chronic in-dwelling urinary catheter, instrumentation/urologic procedures, contamination, or because of a true UTI or even bloodstream infection.

If the patient has a catheter, remove it and see if the Candida persists. If it cannot be removed, replace it with a new one.

Asymptomatic candiduria should only be treated in high-risk populations: neutropenic patients and those undergoing surgery or urinary tract procedures. Also, if the patient has dysuria, then it should be treated. Most strains are susceptible to fluconazole so this is a first-line agent.

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