ABSTRACT
The objective of this work was to study the effect of pneumococcal polysaccharide vaccine in children with recurrent otitis media after tympanostomy tube insertion. One hundred and fifty infants and children with history of recurrent acute otitis media [at least two episodes in the last six months or five episodes during the past year] were presented with otitis media with effusion in the Outpatient Clinic of Pediatric and Otolaryngology Departments proved by tympanometry. They were subjected to tympanostomy and fluid of type removed at surgery was subjected to culture and sensitivity. Culture and sensitivity from the samples taken by tympanocentesis revealed 35% Streptococcus pneumoniae, 20% Hemophiliac influenza, 5% Marseille Naturalisrn and the rest showed no growth