Culture of ear discharge from these perforations shows 60% of specimens from AOMwiP cultured NTHi and 26% cultured pneumococcus. For CSOM, these figures were 47% and 23% respectively. Serotyping identified 19A or 6A in 20% of pneumococcal isolates, which translates to 5% AOMwip and 4% CSOM specimens. NTHi is also associated with exacerbations of chronic suppurative lung disease (CSLD), or bronchiectasis, in young Indigenous children.(6) Percentage of ear discharge specimens with OM pathogens pneumococcus (Spn), 19A, NTHi, M. catarrhalis or neither Spn nor NTHi.