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Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. Patients are increasingly using the Internet not only to access health information but also to obtain medication. Third, we categorized the classes of antibiotics available for purchase. 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 links to these advertised sites were also investigated. Previous research suggests that a patient's past experience of care seeking and treatment use influences future expectations for treatment of respiratory tract infections. Antibiotic resistance is a common problem, however, and has been described with numerous infectious agents and in varying contexts. The vendors identified in this study do not appear to be fearful of prosecution. 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. 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. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. 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. Unfortunately, other disturbing evidence suggests that this problem may not be easily fixed through education, a troubling issue in controlling antibiotic use. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. As part of this study, we bought over-the-counter antibiotics over the counter.

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