Abstract
Objective: To demonstrate the antibiotic usage and trends among paediatric patients admitted to the tertiary care hospital of Rawalpindi.
 Study Design: Cross-sectional analytical study.
 Place and Duration of Study: Paediatric In-Patient Department of two Tertiary Care Hospitals, in Rawalpindi Pakistan, from May to Dec 2021.
 Methodology: After rigorous inclusion and exclusion criteria, 395 admitted patients of the paediatric ward were included in the study from two tertiary care hospitals in Rawalpindi through simple random sampling.
 Results: A total of 395 patients were included; the mean age was 3.35±4.07 months, ranging from 0 to 45 months. 132(33.4%) patients from Hospital-A and 263(66.6%) from Hospital-B. Out of 395 patients, 35(8.7%) patients were given no Antibiotic, 240(60.8%) were given one antibiotic, 84(21.3%) patients were given two antibiotics, 33(8.3%) patients were given three antibiotics and 3(0.9%) patients were given four antibiotics. Of 360, 340(94.4 %) were given IV antibiotics, and 20(5.6%) were advised oral antibiotics.
 Conclusion: The youngest children received the most antibiotic prescriptions, progressively decreasing as they aged. irrational use of antibiotics is a significant risk factor to cause antimicrobial resistance.
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