**2. Epidemiology**

The community acquired urosepsis is rare and commonly occurs due to structural or functional abnormality leading to urinary flow obstruction. It contributes to 5% of total sepsis case, whereas the hospital-acquired urosepsis contributes to 40% of sepsis cases [5]. Occurrence of urosepsis is more frequent in females than in males. For the community-acquired urosepsis, the frequent risk groups are the patients with obstructive uropathy. Hofmann reported that majority of obstruction to the flow of urine was due to urinary calculi (65%), tumours in 21%, gestation in 5%, urinary tract anomalies in 5% and surgical interventions in 4% of their patients [6]**.** Other risk factors for urosepsis are old age, female gender, immunosuppression, steroid therapy, chronic renal failure and prolonged surgical time [7]**.** In elderly bedbound patients, the urinary catheter is the foremost cause for urosepsis. Healthcare-associated infection frequency vary according to geographical location of the countries; prevalence of healthcare-associated infections is 4% in the United States of America, 6% in the European countries and 15.5% higher in developing countries [8, 9]**.**
