In the management of viral pneumonia, which approach is most appropriate?

• A. Start broad-spectrum antibiotics immediately.
• B. Use supportive care; antibiotics usually not indicated.
• C. Initiate antivirals for all viruses.
• D. Isolate only if febrile.

Answer: (B)

The main idea is that managing viral pneumonia relies on supportive care rather than antibiotics. Viral infections typically do not respond to antibiotics, and most patients recover with measures that improve breathing and comfort—oxygen if needed, fluids, fever and pain control, nutrition, and close monitoring for worsening symptoms or signs of bacterial superinfection. Antivirals are only appropriate for specific viruses (for example, certain cases of influenza when started early, or other viruses with targeted therapies), not for all viruses. Antibiotics should be reserved for situations where a bacterial co-infection is suspected or confirmed, since unnecessary antibiotic use can cause side effects and drive resistance. Isolation decisions depend on the contagion and the pathogen, not solely on fever—appropriate precautions follow the suspected infectious agent.