Acute otitis media is a common condition among children and presents as an acute illness with systemic signs and infection of the middle ear cavity. Acute otitis media is characterized by recent purulent infection within the middle ear cavity. It is the second commonest infection among pediatric age group and the most common condition for which antibiotics are prescribed.
Viruses that cause upper respiratory tract infection, including rhinovirus, influenza virus, respiratory syncytial virus and enteroviruses, affect the functioning of the Eustachian tube. In children, pathogenic bacteria from the nasopharynx easily move into the middle ear cavity due to a short and straight Eustachian tube. The most common agents that cause severe suppurative infection of the middle ear in children include Streptococcus pneumoniae, non typable Hemophilus influenza, Moraxella catarrhalis and…