INTRODUCTION Prevalence of Otitis Media in Indian children is approximately 11.66%. Hence It accounts for significant hearing and learning impairment in children, loss of working hours in adults and is one of the major healthcare expense burden for the society. Recent years have seen important changes in the bacterial spectrum involved in the active phase of mucosal chronic suppurative otitis media. This study is an attempt to study those changes, so as to raise an alarm towards need for change in guidelines for its management