Introduction: Urinary tract infections (UTIs) are more common in geriatrics due to physiological alterations or pathological conditions. Urinary tract infection in the elderly poses a very serious problem. Aim of the study: The aim of this study was to find out the common presenting symptoms and risk factors associated with UTI in the elderly, also to find the common uropathogens and their antimicrobial susceptibility pattern. Method: A total of 200 elderly patients aged 65 years and above with symptoms of UTI were included in this observational and descriptive study. A clean catch midstream specimen or catheterised urine specimen was collected and cultured semi quantitatively. Results:. Fever (60/200 = 30%) and Painful burning micturition. (53/200 = 26.5%) were found to be the most common symptoms of UTI in the present study. The results showed that Escherichia coli was the most frequently isolated organism (44.79%), followed by Klebsiella spp (20.83%), Pseudomonas aeruginosa (17.70%), and Enterobactor spp. (11.45%). Conclusion: Patients with diabetes mellitus (DM) often have urinary tract infections. Diabetes mellitus (DM) the most common risk factors associated with UTI in the present study. Escherichia coli (42.58%) was found to be the most prevalent gram negative bacteria in the positive urine samples of UTI.