This review describes the microbiology, medical diagnosis and treatment of chronic suppurative otitis media (CSOM) in children, emphasizing the strattera role of anaerobic bacteria. The studies employed adequate method for recovery of anaerobic bacteria polymicrobial aerobic and anaerobic flora was isolated from more than half of children with CSOM. The vast aerobic strains were
Staphylococcus aureus and Pseudomonas aeruginosa and the most frequently isolated anaerobic organisms are Peptostreptococcus,
Fusobacterium SPP. and pigment
Prevotella and Porphyromonas SPP. Several studies have demonstrated the efficacy of antibacterial agents effective against anaerobic bacteria in the treatment of CSOM. Therapeutic CSOM should be aimed at eliminating pathogenic aerobic and anaerobic organisms. .
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