Infections of the upper respiratory tract are very common in children. Clinical features and patterns of disease are different from those in adults. Although infections of the upper respiratory tract often resolve completely without complications, treatment is indicated where it can achieve more rapid resolution of symptoms and prevent the complications. Vast amounts of money are wasted on over-the-counter products for colds. Clinical trials have confirmed their lack of efficacy. This review summarizes the epidemiology, pathogenesis, clinical features, diagnosis and treatment of common cold in children.