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In conclusion, antibiotics are freely available for purchase over the Internet without a prescription, and the general structure of transactions encourages self-medication and poor quality care. 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. Most initiatives, however, focus almost exclusively on controlling prescribing by health care clinicians and do not focus on patient self-medication. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem. Fifth, we estimated the expected delivery time to take antibiotics. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. 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. Second, there was a considerable repetition in the Web sites, which made an accurate determination of unique vendors from the 184 different sites difficult, an effort that may have let to some error. As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Reducing inappropriate use of antibiotics is key to many antibiotic resistance initiatives. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. There are several limitations to this study. The vendors identified in this study do not appear to be fearful of prosecution. 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. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each.