Upper respiratory tract infections (URTIs) are a common reason for pediatric primary care visits and a major driver of antibiotic prescribing. Inappropriate antibiotic use contributes to antimicrobial resistance and remains a key quality-of-care challenge.To describe antibiotic prescribing patterns for pediatric URTI visits and examine variation by diagnosis category, age group, and season.We are conducting a retrospective cross-sectional analysis of electronic health records from a pediatric outpatient clinic at a tertiary care centre. The study covers a one-year period and includes patients aged 0-18 years. Eligible encounters are identified using URTI-related ICD-10 codes recorded as the primary diagnosis. Outpatient visits with complete prescription data are included, while encounters requiring hospitalisation or involving diagnoses that typically require antibiotic therapy are excluded to ensure a clinically homogeneous sample. Primary outcomes include the proportion of URTI encounters resulting in an antibiotic prescription, the distribution of antibiotic classes, and prescribing rates stratified by age group, diagnosis category, and season. Descriptive statistics and chi-square tests will be used, with multivariable logistic regression planned as a secondary analysis. A minimum sample size of 400 eligible encounters is anticipated.Data extraction and dataset construction are underway. An interim analysis is planned prior to final submission, and full-period results will be presented at the conference. Results will include overall and diagnosis-specific antibiotic prescribing rates and seasonal variation. As a retrospective, single-center study based on routinely collected data, findings may be subject to diagnostic coding variability and incomplete documentation, which will be considered in interpretation.This study is expected to identify real-world patterns of antibiotic prescribing for pediatric URTIs and areas of potential overuse. Although conducted in a tertiary-care outpatient clinic, most URTI presentations are uncomplicated conditions commonly managed in primary care. The observed prescribing patterns are likely relevant to family physicians’ clinical decision-making. Diagnosis-specific and seasonal variation may highlight opportunities for improved guideline adherence and targeted antimicrobial therapy in primary care.This study will provide practical benchmarks for antibiotic prescribing in pediatric URTIs and support rational antibiotic use in family medicine. The findings may increase awareness of rational drug use and strengthen evidence-based practice in primary care.