Objectives To identify the guideline practice situation in pediatric recurrent respiratory tract infections （RRTIs） study. Methods From the China National Knowledge Infrastructure (CNKI) (2013-2016), patients with RRTIs were identified by researders. Inclusion and exclusion criteria were based on the guideline definition for each study. Results A total of 1740 patients from 15 study were examined. Most of the researches were not restricted to the age categorization of the RRTIs study and to the etiology variable in the analyses. Although frequent clinical treatment may have beneficial effects on remission of RRTIs patients, it cannot and should not be viewed as an etiologic treatment of RRTIs. Conclusions The current understanding in the diagnosis and management of RRTIs in children needs further discussion.