Most children with acute otitis media and ear fluid evaluated in primary care had a bacterial aetiology on a typical swab taken at presentation. They seem to belong to a different clinical category, indicating the more severe spectrum of otitis media, and they might experience more long-term issues. In this study, the majority of children were prescribed antibiotics by the doctor when they presented. However, a sizeable portion of them required altering. According to this study, routine ear swabs might help direct short-term treatment in the future. Even yet, the current National Institute for Health and Clinical Excellence (NICE) recommendations support the use of such antibiotics. To help doctors with empirical therapy and the creation of treatment regimens, this study will give information on otitis media's aerobic bacterial and fungal profile. This aids in proper infection control, lowering problems and preventing the establishment of resistant strains.