Lack of infection control awareness among health care workers at Aminu Kano Teaching Hospital has resulted in poor waste segregation and disposal, avoidable needle stick injuries, poor suction machine/catheter care and a high rate of catheter-associated urinary tract infections (CAUTI), amongst other problems. With direction and oversight from the top management committee, a dedicated infection control nurse was appointed to implement an infection control programme within the hospital. This small infection control team has successfully promoted infection control awareness to about 90% and raised compliance to standard precautions to 86%. Waste segregation and disposal has been improved significantly and the number of sharps injuries has been reduced. As a result of improved practices, the hospital acquired infection rate decreased from 5.8% in 2003 to 2.8% by 2006. Furthermore, CAUTI and nosocomial pneumonia have dropped 33% and 6% respectively.