Background: Acute respiratory infections (ARI) account for 80% of all children reporting to outpatient departments (OPD). In most of the cases the cause of morbidity is a viral infection that does not require antibiotic treatment, but in spite of this, antibiotics are used much too frequently. The guidelines for the management of ARI have been developed by World Health Organization (WHO), but generally, the physicians do not follow the recommended guidelines. This study was conducted to audit the prescriptions of general practitioners, to determine their practices regarding ARI management and to provide recommendations to improve their practices in the area of identified needs. Methods: Practitioners working in District Bulleda (Turbat), Balochistan were surveyed and five of them were selected randomly using simple random sampling technique for this cross sectional study. They were informed about the objectives of the study and consent was obtained. Their prescriptions of cases of ARI management for one month were obtained. Results: The results of the study show that a total of 202 patients of ARI were seen by the 5 selected physicians of the district. It was seen that in 60% cases the chief complaints were recorded. Temperature was recorded in 48% case. Respiratory rate was recorded in 33% cases. The diagnosis was noted down in 44% cases. In 97% cases, antibiotics were prescribed and in 37.5% cases the dose was not according to recommendation. Conclusion: It is concluded that most physicians in Bulleda are not following the WHO recommended protocol of ARI management. Refresher courses and training programs for physicians are recommended. Use of electronic media may be helpful in increasing awareness both in the health care provider and health care recipient.