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Unfortunately, other disturbing evidence suggests that this problem may not be easily fixed through education, a troubling issue in controlling antibiotic use. As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008. In addition, the ability of Internet-based companies to exist without an identifiable physical location or property makes the location and writing of FDA instructions extremely difficult. 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. 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. The frequency of relevant Web sites declined substantially after the first 300. Clinicians evaluating the patient's use of self-medication when taking a medical history may function as an important opportunity to tell patients about not only antibiotic resistance, but also potential interactions between antibiotics and other prescription drugs. 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. The purpose of this study was to examine antibiotics available to patients without a prescription, a phenomenon on the Internet. No prescription was required, and no online consultation was necessary. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade. Although excessive consumption of antibiotics has contributed to the spread of antibiotic resistance, 4-6 most initiatives regarding inappropriate direct human consumption of the antibiotic therapy center are almost exclusively controlled by prescribing by healthcare clinicians.

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