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The vendors identified in this study do not appear to be fearful of prosecution. Third, we categorized the classes of antibiotics available for purchase. In usual face-to-face health care visits for respiratory tract infections during which antibiotics are prescribed, more than 90% of prescriptions are filled on the day of the office visit. We classified Web sites of vendors according to several variables. 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. Fourth, we categorized whether a person could buy antibiotics, especially broad-spectrum antibiotics, in quantities greater than what would be considered adequate 1 course of treatment for acute respiratory tract infection. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. Recent evidence in ethnic communities in the United States indicates a high level of self-medication with antibiotics either obtained without a prescription in a foreign country and imported into the United States or acquired in the United States without a prescription at stores in ethnic communities. Fifth, we estimated the expected delivery time to take antibiotics. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. Our study suggests that the opposite might be the case. Antibiotic resistance is a common problem, however, and has been described with numerous infectious agents and in varying contexts. Some Internet vendors also attempt to skirt US regulations by operating in countries outside the United States but marketing to US consumers. Although providing over-the-counter drugs is illegal in the United States, failure to enforce US laws likely encourages these companies to sell their products to patients. The first 300 search results of on both sites were examined to identify vendors for antibiotics that did not require a prescription.

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