Background: Otitis media is defined as an infection of the middle ear space. that include acute otitis media (AOM), chronic suppurative otitis media (CSOM), and otitis media with effusion (OME). Infection of the middle ear can be viral, bacterial, or coinfection. Otitis media is diagnosed clinically via objective findings on physical exam (otoscopy) combined with the patient's history and presenting signs and symptoms. However, understanding the bacterial etiology of otitis media (OM) is important when designing and evaluating the best course of treatment. Methods: The present study was a single-center, observational Study conducted on children <6yrs with Otitis mediain the department of Paediatrics, Sri Siddhartha Medical College hospital and Research Centre, Tumkur from January 2021 to July 2022. Prior to initiation of the study Ethical and Research Committee clearance was obtained from Sri Siddhartha Medical College hospital and Research Centre, Tumkur (Annexure B). During present study total 100 children were reviewed in OPD/IP, among them 75 patients were enrolled into the study according to inclusion criteria and 25 patients were excluded according exclusion criteria. Results: There were a greater number of cases of acute otitis media when compared to chronic otitis media (73.33%). The residents of rural areas were more prone to develop both acute (63.63%) and chronic (75%) otitis media when compared to those of residents in urban areas. The children who have siblings (76.36%) are susceptible in developing both acute and chronic otitis media when compare to those who do not have siblings (75%).Exposure to passive smoking is a significant risk factor for developing otitis media (80%) The children belonging to socioeconomic class V (50.90%) develop acute otitis media prominently whereas the children belonging to socioeconomic class IV (50%) develop chronic otitis media. Ear pain (87.27%), fever (50.90%), cough and cold (67.27%) were the highest reported profile of symptoms in acute otitis media whereas ear pain (50%), ear discharge (80%), cough and cold (55%) were the highest reported profile of symptoms in chronic otitis media. Perforation (90%) was the prominent sign in chronic otitis media followed by otorrhea, erythema tm, otitis externa, hearing loss and bulging tm. The organism reported in acute otitis media were Staphylococcus>Pseudomonas>CONS>Klebsiella. The organism reported in acute otitis media were Pseudomonas>Staphylococcus>CONS, Klebsiella. Conclusion: Otitis Media is one of the most prevalent illnesses in young children around the world. To ensure quick diagnosis and treatment and significantly lower the likelihood of consequences. The risk factors include male gender, socioeconomic class, bad habits, exclusive breast feeding, passive smoking etc. Can cause speech, language, and cognitive delay.