What is the recommended action when a child with fever is suspected of having a mild illness?

• A. Give antibiotics.
• B. Use weight-based antipyretics (acetaminophen or ibuprofen) and avoid aspirin.
• C. Give aspirin.
• D. Do nothing until symptoms resolve.

Answer: (B)

When a fever arises from a mild illness, the aim is to relieve discomfort and safely reduce fever rather than jump to antibiotics. The best action is to give a weight-based dose of a fever-reducing medicine such as acetaminophen or ibuprofen and avoid aspirin. These medications help lower fever and improve comfort without treating a viral illness with antibiotics, which are not helpful in this scenario and can cause harm. Aspirin is avoided in children because of the risk of Reye syndrome, a serious condition linked to aspirin use during viral infections. If choosing an antipyretic, follow weight-based dosing and age guidelines (acetaminophen suitable for most ages with correct dosing, ibuprofen typically for children 6 months and older). Also ensure the child stays hydrated, monitor for signs that would require medical attention, and use fever-reducing medicine as needed rather than waiting without relief.