Background: Urinary tract infections (UTI) are one of the most common types of bacterial infectionsrnin humans occurring both in the community and the health care settings. UTI rank high amongst thernmost common causes that compel an individual to seek medical attention. HIV/AIDS is one of therngreatest public health crisis faced by the global community without a complete cure. UTI represents arnconsiderable health problem amongst HIV infected patients.rnObjective; to determine the prevalence and drug susceptibility pattern of bacteria associated with UTIrnamong HIV positive patients.rnMethods: A cross sectional study was conducted in ALERT Center Addis Ababa Ethiopia fromrnSeptember to January 2015 among 165 adult HIV patients. Midstream urine (MSU) was collectedrnfrom the study participants with sterile wide mouthed urine cups. Urine samples were inoculated in tornBlood agar, MacConkey and Cysteine lactose electrolyte deficient and biochemical tests werernperformed to identify isolates. Drug susceptibility pattern of isolates was determined using the discrndiffusion techniques.rnData were analyzed using SPSS version-20 software package. Chi â€“ square (X2) test was used torncompare categorical data and to compare associations between proportions. Differences werernconsidered significant when the p-values were < 0.05 at 95% confidences limit.rnResult: Among the total 165 study participants 114 were females and the remaining 51 were malesrnand the mean of age was 37.9. The overall prevalence of UTI was 15.7. High bacterial isolates werernfound in asymptomatic study participants than symptomatic HIV positive patients. Among Gramrnnegative isolates Escherichia coli were the leading cause of UTI followed by Gram positive isolatesrnStaphylococci aureus. Most bacterial isolates were resistant to Amp, TE, P and SXT and Gentamicinrnwere susceptible for all isolates.rnConclusion: the prevalence of UTI was high, and both Gram-negative and Gram positive organismsrnwere causes of UTIs. In this study the chance of acquiring UTI was higher among females than males.rnUTI prevalence was also high among study participants those have previous history of catheterizationrnand UTI. E. coli were the most predominant organisms followed by Staphylococci aureus and most ofrnthe bacterial isolates were sensitive to Gentamicin, Ceftriaxone, Ciprofloxacin, Norfloxacine, Oxacilinrnand Nitrofurantion. Multi-drug resistance bacteria were commonrnKey words: Asymptomatic UTI, Symptomatic UTI, urinary tract infection, HIV/AIDS, Ethiopia