Traditional methods for the detection of pathogenic bacteria are time-consuming, less efficient, and sensitive, which affects infection control and bungles illness. Therefore, developing a method to remedy these problems is very important in the clinic to diagnose the pathogenic diseases and guide the rational use of antibiotics. Here, microfluidic electrochemical integrated sensor (MEIS) has been investigated, functionally for rapid, efficient separation and sensitive detection of pathogenic bacteria. Three-dimensional macroporous PDMS and Au nanotube-based electrode are successfully assembled into the modeling microchip, playing the functions of "3D chaotic flow separator" and "electrochemical detector," respectively. The 3D chaotic flow separator enhances the turbulence of the fluid, achieving an excellent bacteria capture efficiency. Meanwhile, the electrochemical detector provides a quantitative signal through enzyme-linked immunoelectrochemistry with improved sensitivity. The microfluidic electrochemical integrated sensor could successfully isolate Candida albicans (C. albicans) in the range of 30−3,000,000 CFU in the saliva matrix with over 95% capture efficiency and sensitively detect C. albicans in 1 h in oral saliva samples. The integrated device demonstrates great potential in the diagnosis of oral candidiasis and is also applicable in the detection of other pathogenic bacteria.Pathogens, including fungi, bacteria, and viruses, are infectious agents that cause disease. 1,2 Candida albicans (C. albicans), as an opportunistic pathogen, are present in the mouth, gut, and vagina of 40−80% of normal humans. 3 C. albicans overgrow easily, especially in immunodeficient patients and cause systemic infections, such as pneumonia, septicemia, or endocarditis, which are life-threatening. 4−6 Therefore, developing a rapid and accurate method for the early diagnosis of C. albicans is urgently needed.Currently, the gold standard for bacterial detection is plate culture, which is cumbersome and time-consuming. 7 Although polymerase chain reaction (PCR), 8 flow cytometry, 9 and enzyme-linked immunosorbent assay (ELISA), 10 etc. are also applicable for microbial detection, they always require expensive experimental instruments or specialized techniques, which are not conducive to their widespread use, especially in low-resource areas.Microchip has the features of integration, high throughput, and less reagent consumption, which are very suitable for constructing economical devices. 11−13 Currently, various sorting strategies (membrane filtration, 14 inertial microfluidic chip, 15 magnetic nanoparticle-based separation 16−18 based separation, and so on) have been integrated in the microchip to separate pathogens, which are then identified by diverse sensor systems, such as fluorescence, 19,20 colorimetry, 18,21 surface-enhanced Raman biosensors (SERS), 22,23 and mass spectrometry 24,25 . The microchips integrated with sorting and sensor systems are promising for processing complicated matrixes for the enumeration of ta...