When an Antibiotic Is Not Needed: How to Care for Your Child

Your child has an infection caused by a type of germ called a virus. Antibiotics can't cure viral infections and won't help your child feel better. Antibiotics can only treat infections caused by bacteria, a different type of germ.

Here's how to help your child feel comfortable over the next few days.

Care Instructions

Don't give your child antibiotics prescribed for a previous illness or for someone else.

Caring for your child:

  • Let your child rest as needed.
  • For congestion, saltwater nose drops or a cool-mist humidifier can help. Clean and dry the humidifier after each use to prevent the growth of mold, bacteria, and other germs. Tap water contains minerals. When possible, use distilled water to run and clean the humidifier. Follow the manufacturer's instructions for the best results.
  • In kids 6 years and older with a sore throat:
    • Offer a throat lozenge. To prevent choking, make sure your child is sitting up and awake and that an adult is nearby.
    • Try a saltwater gargle a few times a day. Mix ¼ teaspoon of salt in 8 ounces of warm water and have your child gargle then spit out the saltwater.
  • Offer your child plenty of liquids. If they are having trouble taking their regular liquids, try warm herbal (no caffeine) tea, broth, watered-down white grape juice, an oral electrolyte solution (such as Pedialyte®, Enfalyte®, or a store brand), or water. Crushed ice or flavored ice pops will also help your child get enough liquids. Babies can continue to breastfeed or take formula.
  • If your child has pain or a fever, and your healthcare provider says it's OK, you can give acetaminophen (Tylenol® or a store brand) or ibuprofen (Advil®, Motrin®, or a store brand). Follow the package directions for how much to give and how often. Don't give ibuprofen to babies under 6 months old.
  • Don't give your child aspirin. It can cause Reye syndrome, a rare but serious illness.

Follow your healthcare provider's instructions for:

  • When your child can return to school or childcare
  • When to follow up
  • If your child needs any other medicines

Your child:

  • Develops new or worsening symptoms.
  • Was getting better, then got sick again.
  • Is drinking or eating much less than usual.
  • Is over 3 months old and has a fever. If your baby is 3 months or younger and has a rectal (taken in the bottom) temperature of 100.4°F (38°C) or higher, take them to the ER.

Go to the ER if...

Your child:

  • Isn't drinking at all or has signs of dehydration (not enough water in the body), such as a dry or sticky mouth, sunken eyes, less pee or darker pee than usual, little or no tears when crying, or unusual sleepiness
  • Is 3 months or younger and has a rectal (taken in the bottom) temperature of 100.4°F (38°C) or higher
  • Has trouble breathing, is breathing fast, or looks blue around the lips

You know your child best. If they have symptoms that worry you or seem very sick, take them to the ER.

More to Know

What infections do viruses cause? Infections usually caused by a virus include:

  • Upper respiratory infections (the common cold) 
  • Coughs
  • Pinkeye 
  • Bronchiolitis (RSV)
  • Coronavirus (COVID) 

What can happen if kids take antibiotics when they don't need them? Taking unneeded antibiotics for a viral infection may cause:

  • New problems, such as: 
    • An upset stomach 
    • Diarrhea 
    • A rash 
    • An allergic reaction 
  • Antibiotic resistance: Taking antibiotics often, especially when they aren't needed, can change bacteria so that antibiotics don't work against them. Some bacteria, called super bacteria or a superbug, resist even the most powerful antibiotics. 

How can I keep the virus from spreading to other members of the family? Follow these tips:

  • Teach all family members to wash their hands well and often, using soap and water. They should scrub for at least 20 seconds, rinse, and dry thoroughly. This is especially important after coughing or sneezing, and before and after eating. If soap and water aren't available, a hand sanitizer with at least 60% alcohol can be used.
  • Teach your child to cover their mouth and nose with a tissue when they cough or sneeze, then throw the tissue away and wash their hands well afterward. If a tissue is not available, they should sneeze into their upper sleeve or inner elbow, not their hands.
  • Disinfect commonly touched surfaces daily, such as doorknobs, tabletops and other hard surfaces, light switches, and toys.
  • Avoid sharing personal items, such as cups, utensils, towels, or toothbrushes.
  • Remind your children and others in the home to avoid touching their face, especially their eyes, nose, and mouth.

 

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