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Fourth, we have limited our count to English language websites. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription. Fifth, we estimated the expected delivery time to take antibiotics. First, although all of the included providers would sell antibiotics without a prescription, we assessed whether the supplier would sell antibiotics without any form of prescription or whether a prescription created for the purchase based on the completion of an online medical history was required. Reducing inappropriate use of antibiotics is key to many antibiotic resistance initiatives. As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008. In usual face-to-face health care visits for respiratory tract infections during which antibiotics are prescribed, more than 90% of prescriptions are filled on the day of the office visit. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. The findings described in this study suggest that there is a potentially large pool of antibiotics in the United States that is not affected by initiatives to change physician-prescribing practices and may be contributing to antibiotic resistance. First, this study provides a sample of websites and providers, and thus may not be indicative of all suppliers selling over-the-counter antibiotics. Second, we examined whether the vendor would ship prescription antibiotics to a buyer in the United States, as well as several other countries (Canada, United Kingdom) where antibiotics are available only by prescription. The extent to which antibiotics are available for over-the-counter purchases over the Internet is unknown. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade.

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