Background: Hemodialysis patients are uniquely vulnerable for urinary tract infections at ratesrnof 3 to 4 times than the general population. It is mostly associated with increased rate ofrncomplications due to often subclinical presentations and it is an important cause of morbidity andrnmortality among this group of patients.rnObjective: To determine the prevalence of bacteriuria, candiduria and antimicrobial resistancernpattern among hemodialysis patients at selected dialysis centers, Addis Ababa, Ethiopia.rnMethod: A cross sectional study was conducted from January to May 2017 at selected dialysisrncenters, Addis Ababa, Ethiopia. A total of 222 hemodialysis patients were included. Urinernsamples were collected and cultured on Blood agar and MacConkey agar for bacterial and onrnSabroud dextrose agar for Candida ssp. isolation. All culture positive samples were characterizedrnby colony morphology, gram stain and biochemical tests using the standard procedure. Candidarnspp. was identified by germ tube technique. Antimicrobial susceptibility testing was performedrnfor bacterial isolates using Kirby-Bauer method. Data was analyzed using SPSS version 20.rnResult: The overall prevalence bacteria was 27.5% (n=61/222) and the predominant bacteriarnisolated were E coli 37.7% (n=23/61) and K. oxytoca 23% (n=14/61). S. aureus 4.9% (n=3/61)rnwas the only gram positive isolate. The prevalence of candiduria was 2.7% (n=6/222) in whichrnCandida albicans accounted 66.7% (n=4/6) while non- albicans were 33.3% (n=2/6). Multidrugrnresistance level was recorded 100% (n=61/61) for both Gram positive and Gram negativernbacteria. Gram negative isolates were highly resistant to Ampicillin (88.5%), amoxicillin-rnclavulanic (82%) and chloramphenicol (82%). All isolated S. aureus were methicillin resistant.rnConclusion: Assessing hemodialysis patients for bacterial UTIs at regular period is necessary forrnminimizing the possible occurrence of morbidity and/or mortality due to the infections.rnIsolations of Candida species from hemodialysis patients were significant in number. Thernpossible choices of antibiotic options for treatment of urinary tract infections are few due to widernscale resistance to commonly used antibiotics. To prevent further emergence and spread of MDRrnbacteria rational use of antibiotics and regular monitoring of antimicrobial resistance patterns isrnessential.rnKey terms: Bacteria, Candida, antimicrobial resistance, hemodialysis, Addis Ababa, Ethiopia