Introduction: In India, ARI is one of the major reasons for which children are brought to the hospital and health facilities. According to WHO estimates, respiratory infections cause about 9.87 lakh deaths in India of which 9.69 lakh deaths were due to ALRTI. Methodology: This was a prospective clinical study of severe pneumonia conducted on 150 children who were admitted to pediatric wards in medical college hospital. Epidemiological factors affecting the same were studied and bronchoscopy was done whenever it was needed.Children in the age group of one month to 5 years with clinical features of severe pneumonia as per WHO recommendations for the control ARI were included. Results: In the present study, according to WHO ARI programme,83.33% had severe pneumonia and 16.67% has very severe pneumonia. Conclusion: Symptoms and signs mentioned in the WHO ARI control programme were very sensitive and can be applied to hospitalized children.

Keywords: ARI; Clinical Profile; Pneumonia.