الفهرس 
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Abstract
Acute suppurative otitis media is one of the most common diseases in childhood and gives rise to serious medical and socioeconomic problems. The peak age for attacks is between 6 and 18 months, because in the newborn the tube is horizontal making it more difficult to drain naturally.
Several factors increase the risk of acute suppurative otitis media such as low socio-economic state, bottle feeding, allergy, and passive smoking.
Bacteriological analysis show that the three major pathogens of ASOM, Streptococcus pneumonia (46.7 %), Hemophilus influenza (33.3%), and Moraxella catarrhalis(8.9%).
45 children with ASOM, their age group from one month to six years of both sexes were involved in this study, we found that a higher incidence in males 29(64.4%) than in females 16(35.6).
The incidence of ASOM was more in rural 43(95.6%) than urban 2(4.4%).
The number of unilateral ASOM was (86.7%) while that of bilateral ASOM was 6(13.3%). The number of the right ears affected 25(55.5%) was higher than of the left ears 14(31.1%).
Incidence of ASOM was more in bottle feeding28 (62.2%) than breast feeding 10(22.2%).
Bacterial finding revealed Streptococcus pneumonia was the most prevalent organism; it was isolated from 21(46.7 %) cases, followed by H. influenza15 ((33.3%), M catarrhalis 4(8.9%), Staph. aureus 3(6.7%) and Streptococcus pyogenes 2(4.4. %).
All isolated organisms were completely and highly sensitive to ceftrixone, Streptococcus pneumonia,and S.pyogenes were moderately sensitive to amox\clav (80 %) and amoxicillin.
Hemophilus influenza and Moraxella catarrhalis were highly sensitive to amoxicillin\clavuronic (100%), moderately sensitive to amoxicillin 75%, 50% respectively.
In Staph.aureus the least effective antibiotic was amoxicillin,amox\clav and TMP-SMX (0%).
As regard the results of the current study, we found that during management (In the first 5 days):
1 Group (A): Treatment with systemic antibiotic high-dose amoxicillin (90mg/kg/day) :46.7% improved
2- Group (B) Treatment with dryness of EAC and systemic antibiotic: (80%) improved.
3- Group(C) Treatment with dryness of EAC and topical antibiotic: (53.3%)%) improved.