Introduction: CSOM is often associated with recurrent infections, leading to permanent damage to the ear structures. While the pathogenesis of CSOM is complex and multifactorial, bacterial infections play a major role, with Pseudomonas aeruginosa emerging as one of the most frequent pathogens responsible for this condition Objective: This study aims to determine the prevalence of Pseudomonas aeruginosa isolates in patients with chronic suppurative otitis media (CSOM) and to evaluate the antibiot