The most frequent paediatric illness for which antibiotics are administered is acute otitis media (AOM), which mostly affects children. The vast bulk of medical literature is devoted to the diagnosis, treatment, and side effects of juvenile AOM. The genesis, diagnosis, and management of AOM in adults will all be covered in this article. An acute, suppurative infectious condition known as acute otitis media (AOM) is characterised by inflammation of the mucosa lining the middle ear cavity and the presence of infected middle ear fluid. The illness is typically brought on by the Eustachian tube's decreased performance, which causes secretions to be held in place and suppurate. The presence of purulent otorrhea may also indicate tympanic membrane perforation in AOM. AOM often responds quickly to antibiotic treatment. Streptococcus pneumoniae and nontypeable Haemophilus influenzae are the most prevalent bacterial infections in children, with Moraxella catarrhalis coming in third. Globally, S. pneumoniae and H. influenzae together were responsible for 50–60% of paediatric AOM cases, whereas M. catarrhalis was in charge of 3%–14% of those instances. Although Staphylococcus aureus may be a major pathogen in adults based on limited investigations, Group A Streptococcus and Staphylococcus aureus are less frequently found causes of AOM in general paediatric populations. Furthermore, Group A Streptococcus could be a significant pathogen in people with severe AOM who need to be hospitalised. Tympanic membrane bulging, opacification, erythema, and limited mobility are frequently seen during examination when pneumatic pressure is given with a pneumatic otoscope. Translucent is the typical tympanic membrane. In contrast, the tympanic membrane appears clouded, yellowish, or opaque when there is fluid in the middle ear. The tympanic membrane looks transparent above and opaque below the line of demarcation when an air-fluid level is present. There can be a visible puncture and potentially purulent material in the ear canal if there is a related tympanic membrane rupture.