DOI: https://doi.org/10.36347/sjams.2025.v13i11.007

Pages: 1836-1838

Background: Chronic Suppurative Otitis Media (CSOM) remains a significant cause of preventable hearing loss, particularly in developing countries. This study evaluates the demographic, bacteriological profile, and antibiotic resistance patterns of CSOM cases in a tertiary care hospital. Methods: A total of 250 ear swabs from clinically diagnosed CSOM patients were processed for bacterial culture and sensitivity testing using standard microbiological techniques. Demographic and seasonal data were analyzed. Results: The highest prevalence was observed in the 11–20 year age group (24%) followed by 21–30 years (23.6%). Males (56.8%) were more affected than females (43.2%). Urban cases (59%) outnumbered rural cases (41%). Pseudomonas spp. (32%) was the most common isolate, followed by Klebsiella spp. (17.6%) and Staphylococcus aureus (11.6%). Gram-negative bacteria predominated (70%). Conclusion: The study emphasizes the predominance of Gram-negative organisms in CSOM, with Pseudomonas aeruginosa being the leading pathogen. Regular microbiological surveillance and antibiotic stewardship are essential to prevent treatment failure and resistance.