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This practice also occurs in the United States even though the United States regulates the acquisition of antibiotics, which will be limited by prescription only. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. There are several limitations to this study. All these obstacles cause the illegal acquisition of antibiotics by patients. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem. Third, we categorized the classes of antibiotics available for purchase. That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws. Unfortunately, other disturbing evidence suggests that this problem may not be easily fixed through education, a troubling issue in controlling antibiotic use. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. Self-administration of antibiotics occurs in all countries, but it is particularly problematic where the use of antimicrobials without a prescription is encouraged by the lack of laws restricting antibiotic sales or a failure to enforce the laws. Although the vast majority of websites were in English, some were in other languages. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient self-medication. This activity suggests that some vendors are aware of the questionable legitimacy of their business.

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