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As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting. Thus, vendors targeting foreign-language speakers in the United States would have been missed. This reservoir of antibiotics is likely to be used inappropriately-the Web sites promote self-diagnosis and self-medication, and antibiotics are likely to be used in inappropriate dosages. 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. Our study suggests that the opposite might be the case. After completing the online medical history, the customer would be given a prescription that would allow the purchase to be completed. To examine the types of Web sites and vendors dispensing antibiotics on the Internet, we conducted a search using 2 major search engines (Google and Yahoo) and the key words "purchase antibiotics without prescription" and "online (English only). The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. Reducing inappropriate use of antibiotics is key to many antibiotic resistance initiatives. Third, we categorized the classes of antibiotics available for purchase. Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient self-medication. Antibiotics serve a useful therapeutic purpose in treating and controlling the effects of infectious agents. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. Some Internet vendors also attempt to skirt US regulations by operating in countries outside the United States but marketing to US consumers. Although more than half of the identified sites provided online consultation for prescribing, the lack of interaction between the patient and the doctor did not lead to any opportunity for patient education. Other providers are trying to upset this law by providing online diagnoses and prescriptions based on medical records without a physical examination and without a long relationship between the patient and the doctor, a practice that is not considered an adequate standard of care.