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This decrease was interpreted as evidence that the full use of antibiotics was also reduced. All these obstacles cause the illegal acquisition of antibiotics by patients. In addition, the available quantities and the interval between prescribing and receiving treatment suggest that these transactions will likely be used by people storing drugs for future self-diagnosis and treatment, or for sale. 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. As websites appear and disappear at a relative frequency, searches and classifications were performed during the first week of September 2008. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription. First, this study provides a sample of websites and providers, and thus may not be indicative of all suppliers selling over-the-counter antibiotics. 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. Our final list of URLs included 184 links to single vendors of antibiotics. Thus, as soon as patients receive over-the-counter antibiotics and self-treating self-limiting illnesses with drugs, such as upper-respiratory tract infections without complications, they are likely to suggest that the antibiotic was effective, and self-medicate in the future. This activity suggests that some vendors are aware of the questionable legitimacy of their business. The US Food and Drug Administration forbids ordering prescription drugs from outside the United States: Thus, in virtually all instances, individual citizens are prohibited from importing prescription drugs into the United States. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. Previous research suggests that a patient's past experience of care seeking and treatment use influences future expectations for treatment of respiratory tract infections. As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting.