Background: Pneumonia is considered the leading cause of morbimortality in children all over the world. About 9% of children with pneumonia will have recurrent pneumonia (RP). RP has a major financial burden on the healthcare system owing to frequent hospitalization. Many studies focused on some underlying diseases that cause RP,RP have several possible causes such as deficits in host defenses or underlying situations affecting lung defense mechanisms. Objective: To evaluate pattern of RP and its accompanying risk factors in children admitted to Mansoura University Pediatric Hospital. Patients and Methods: The present study was an observational cross-sectional study with analytic component that was carried out on 180 patients. All patients were admitted to Mansoura University Children Hospital and aged >2 years old and < 18 years old. Results: RP represented 20% of all cases with pneumonia of studied patient. There was statistically significant positive correlation between RP and positive consanguinity (P <0.001), parental smoking (P 0.03), underweight (P 0.005) and Down syndrome (P 0.02). Conclusion: Recurrent pneumonia is a threatening problem contributing to 20% of total children admitted in Mansoura University with pneumonia during the period of our study. Concerning predisposing factors for RP, our study shows that there was significant increase in prevalence of recurrent pneumonia within cases with positive consanguinity, parental smoking, underweight and Down syndrome.