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This phenomenon has not been the focus of initiatives to control antibiotic resistance. If patients who are now denied antibiotics through their physician can access over-the-counter medications, the overall level of antibiotic use in the general population can actually increase and thus have a significant effect on rates of resistance to microbial degradation. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. Patients are increasingly using the Internet not only to access health information but also to obtain medication. Antibiotics serve a useful therapeutic purpose in treating and controlling the effects of infectious agents. Thus, vendors targeting foreign-language speakers in the United States would have been missed. Although the vast majority of websites were in English, some were in other languages. As part of this study, we bought over-the-counter antibiotics over the counter. If those who are self-medicating are taught that they put their own health at risk, they may be less likely to use these online pharmacies. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. Our final list of URLs included 184 links to single vendors of antibiotics. Finally, and potentially the biggest limitation on the importance of this study, is that we were unable to describe how this Internet-based purchasing strategy was used to purchase people with antibiotics in the United States. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. This study was not meant to be an exhaustive census of these sites, primarily because with the questionable legality of some of these practices, these sites rapidly come and go. Antibiotic resistance is a common problem, however, and has been described with numerous infectious agents and in varying contexts.