Knowing the exact etiology of the disease is the most important thing in deciding the mode of treatment for a disease. Especially, a disease like otitis media that has diverse causative factors deserves a proper investigation of the causative organism before starting the treatment. Acute otitis media (AOM) is defined by moderate to severe bulging of the tympanic membrane (TM) or new onset of otorrhea not due to acute otitis externa accompanied by acute signs of illness and signs or symptoms of middle ear inflammation The microbiology of AOM has been documented by cultures of middle ear effusion obtained by needle aspiration is generally cultured to obtain information about the causative organism for acute otitis media (AOM).
Only a culture study can confirm the viral or bacterial etiology of the condition. Respiratory tract organisms of either viral and bacterial origins or both are…