Asymptomatic bacteriuria is common in pregnant women and if untreated could lead to serious complications. Despite this, its prevalence and microbiological characteristics have not been well studied in Kano and they vary among different populations. The objective of the study was to determine the prevalence, microbiological characteristics and pregnancy outcome of asymptomatic bacteriuria in pregnancy among women who came for antenatal booking clinic at the Aminu Kano Teaching Hospital (AKTH) Kano. A cross sectional descriptive study was conducted among randomly selected 200 consenting pregnant women who came for antenatal booking from November 2010 to January 2011. Samples of 10-15 mls urine were examined for pus cells and bacteria and then cultured on cysteine lactose electrolyte deficient agar. Colony counts yielding bacterial growth of 105/ml or more of pure isolates were deemed significant. Isolates were identified to specie level. Antibiotic sensitivity test was done, treatment was given and pregnancy outcome was determined. Urinalysis and Full Blood Count were done. The prevalence of asymptomatic bacteriuria in pregnancy was 9%. Parity and Pyuria had statistically significant association with asymptomatic bacteriuria (P < 0.05). The commonest organisms isolated were Klebsiella spp. and Staphylococcus saprophyticus. Following treatment of asymptomatic bacteriuria, there was no statistically significant difference in pregnancy outcome compared to patients who did not have the condition. The incidence of asymptomatic bacteriuria in pregnancy in AKTH is low. Screening of pregnant women using urine microscopy culture and sensitivity should be reserved for pregnant women with higher risk of developing asymptomatic bacteriuria.

Premalignant cervical lesion, also known as Cervical Intraepithelial Neoplasia (CIN) if left untreated could lead to the development of cervical cancer. Large Loop Excision of the Transformation zone (LLETZ) is effective for treatment of CIN. Experience and equipment for this procedure is not readily and widely available in most health centres in sub-Saharan Africa. The study is aim at reviewing the morbidity and outcome of LLETZ conducted at the Colposcopy Clinic of our Teaching Hospital. A retrospective descriptive review of data obtained from patients who had LLETZ at our Colposcopy clinic from June 2015 to May 2017. LLETZ was performed on 58 patients. Out of these, 52 folders were retrieved and analysed. The mean age of the patients was 35.5 years ±6.2SD while the mean parity was 4.5±2.3SD. The main indication was CIN2+ in 36(65.2%) patients, followed by persistent postcoital bleeding in 8(15.4%) patients. Perioperative complication was seen in 12(23.1%) patients. The concordance rate for CIN lesions after treatment was 92%. LLETZ is a safe and effective procedure for treatment of CIN lesion. The perioperative complications and the concordance rate for CIN lesion after treatment observed in our centre are within acceptable range.

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