Abstract:ObjectiveTo analyze the difference in constituent and antimicrobial resistance of pathogens in communityassociated urinary tract infection(CAUTI) and healthcareassociated UTI(HAUTI) . MethodsClinical data and microbial detection of urine specimens of 960 patients with UTI in a hospital between January 2013 and June 2014 were investigated retrospectively, difference in constituent and antimicrobial resistance of pathogens were analyzed. Results403 cases were CAUTI, and 557 were HAUTI; pathogens in both CAUTI and HAUTI were gramnegative bacteria, accounting for 78.16% and 66.97% respectively. Constituent of pathogens in CAUTI and HAUTI were significantly different(χ2 =21.68,P<0.001). Resistant rates of Escherichia coli to piperacillin / tazobactam, cefazolin, cefoperazone / sulbactam, aztreonam, meropenem, ertapenem, gentamicin, and compound sulfamethoxazole were all significantly different between CAUTI and HAUTI (all P<0.05); Except aztreonam, resistant rates of Escherichia coli in HAUTI to the other antimicrobial agents were all higher than CAUTI. Resistant rates of Enterococcus faecium in HAUTI to penicillin, ampicillin, gentamicin, levofloxacin, ciprofloxacin, and moxifloxacin were all higher than CAUTI(all P<0.05). ConclusionConstituent and antimicrobial resistance of pathogens in CAUTI and HAUTI are different, proper antimicrobial agents should be chosen according to constituent features of pathogens and change in antimicrobial resistance, so as to prevent and reduce the emergence of drugresistant strains, and improve therapeutic effectiveness