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Some Internet vendors also attempt to skirt US regulations by operating in countries outside the United States but marketing to US consumers. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. Unfortunately, other disturbing evidence suggests that this problem may not be easily fixed through education, a troubling issue in controlling antibiotic use. Our study is the first to document this phenomenon, and we describe the mechanism for purchasing antibiotics online; future studies will need to document the scope of antibiotics purchased through this mechanism to better understand its direct implications for antibiotic resistance. European countries struggled with the problem of self-medication with antibiotics and found that the belief in the appropriateness of self-medication with antibiotics for bronchitis and the perceived availability of antibiotics without a prescription was associated with an increased likelihood of self-medication. Unfortunately, this strategy of focusing on prescribing practices does not address the behavior of self-medication with antibiotics. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade. After completing the online medical history, the customer would be given a prescription that would allow the purchase to be completed. The links to these advertised sites were also investigated. This activity suggests that some vendors are aware of the questionable legitimacy of their business. No prescription was required, and no online consultation was necessary. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. Patients are increasingly using the Internet not only to access health information but also to obtain medication. First, this study provides a sample of websites and providers, and thus may not be indicative of all suppliers selling over-the-counter antibiotics.