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As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. 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. Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. Although the vast majority of websites were in English, some were in other languages. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. The frequency of relevant Web sites declined substantially after the first 300. 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. Our final list of URLs included 184 links to single vendors of antibiotics. The vendors identified in this study do not appear to be fearful of prosecution. 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. 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. Other providers are trying to upset this law by providing online diagnoses and prescriptions based on medical records without a physical examination and without a long relationship between the patient and the doctor, a practice that is not considered an adequate standard of care. This study was not meant to be an exhaustive census of these sites, primarily because with the questionable legality of some of these practices, these sites rapidly come and go.

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