This study analyzed 114 cases of neonatal Candida bloodstream infection from a tertiary care hospital in central India over 5 years. Non-albicans Candida (NAC) infections like C. tropicalis and C. parapsilosis were associated with higher mortality and longer hospital stays. Resistance to fluconazole and amphotericin B was also higher in NAC infections. Prolonged use of central lines, nil oral intake, mechanical ventilation and longer hospital stays were identified as risk factors. The study highlights the need for timely identification of Candida species and antifungal susceptibility testing to help improve outcomes.