Thousands of people go straight to the hospital and ask for a “hangnail” whenever they are not feeling well, especially if they have a fever, and this has become so common that it has become routine for anyone to see it. In fact, this phenomenon in most cases are completely superfluous action. In the past few days, the sage suffered from a severe cold, sore throat, nasal congestion, runny nose, dry cough, high fever, the highest temperature of 39.6 ℃, in addition to headache and general malaise, but at first there was no coughing sputum. The examination of the throat did not reveal any pus spots, and no rales were heard in the lungs. Obviously, despite the high fever approaching 40 ℃, the most likely cause of the illness was a common cold caused by a viral infection. Since there is no basis for bacterial infection at the beginning of the illness, there is no need to consider antibiotics in the first place, and there is no reason to go to the hospital for infusion. Many people go and ask for a “hangnail”, when the doctor will usually prescribe two antibiotics, one of which is likely to be a cephalosporin, the other a fluoroquinolone or macrolide. In some cases, the doctor will add an extra bottle of antiviral injection such as virazole. It is also common for the doctor to add 5 to 10 mg of dexamethasone to one of the bottles of fluid. If the temperature measured at the time is high, the doctor may also prescribe an intramuscular antipyretic injection such as Advil, in addition to some kind of oral cold medicine. Most cold patients with fever will usually have a momentary reduction in temperature with dexamethasone alone, even if they do not receive any of the above-mentioned liquid IVs. However, it is certain that the reduction of fever at this time is not related to the use of antibiotics unless it is indeed a bacterial infectious disease. Sage only takes one type of oral cold medicine Tylenol (i.e. Phenomethamine tablets), one of whose ingredients, acetaminophen, is an antipyretic and analgesic. On the day of taking the medicine, symptoms such as sore throat, nasal congestion and runny nose began to relieve, but there was still fever, and the temperature did not drop to normal until the third day. Coughing up thick sputum also appeared from the third day onwards, when a bacterial infection was combined. This is a very common phenomenon, where a viral infection leads to a decrease in upper respiratory resistance, followed by a bacterial infection, and at this point there is a need for antibiotics. So I bought her Ciclosporin (cefaclor extended-release tablets) and gave her one tablet orally twice a day. She stopped taking it after three days and was cured. I would like to say that a cold is a disease process that cannot be cured all at once, and it is usually necessary to wait for 5 to 7 days for all the symptoms to disappear completely. Most colds do not require antibiotic treatment even with high fever. The main treatment medication is the use of compounded cold medication to relieve symptoms, and antiviral treatment can also be considered. Antibiotics are only necessary when there is a definite bacterial infection, which is usually determined by the doctor. Like other children, our two children always had a fever once or twice a year. As far as I can remember, they have never been treated with IV drips for a simple cold, and even oral antibiotics are extremely rare. Their fevers were most often treated with liquid Tylenol, and that was basically the only medication they took. Sometimes the fever will last for two or three days, but as long as there is no basis for bacterial infection, I also do not give them oral antibiotics. As for going to the hospital to “hang a bottle”, that is not possible. Finally, I would like to remind all of you who are not studying medicine that fever is only a manifestation, a symptom, not an independent disease, and there are many causes of fever. These are highly specialized issues, and the general public should go to the hospital early if the fever does not subside after a short period of observation. My core point in writing this short article is that antibiotics are not needed in most cases of the common cold, unless secondary or combined with bacterial infection.