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Antibiotic resistance is a common problem, however, and has been described with numerous infectious agents and in varying contexts. Our final list of URLs included 184 links to single vendors of antibiotics. Thus, vendors targeting foreign-language speakers in the United States would have been missed. First, this study provides a sample of websites and providers, and thus may not be indicative of all suppliers selling over-the-counter antibiotics. Fourth, we have limited our count to English language websites. We assessed whether individuals could purchase penicillins, macrolides, fluoroquinolones, and cephalosporins, because the availability of multiple classes of antibiotics would affect additional selective pressure in the community. The findings described in this study suggest that there is a potentially large pool of antibiotics in the United States that is not affected by initiatives to change physician-prescribing practices and may be contributing to antibiotic resistance. As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. This practice also occurs in the United States even though the United States regulates the acquisition of antibiotics, which will be limited by prescription only. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. If those who are self-medicating are taught that they put their own health at risk, they may be less likely to use these online pharmacies. The frequency of relevant Web sites declined substantially after the first 300. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. Previous research suggests that a patient's past experience of care seeking and treatment use influences future expectations for treatment of respiratory tract infections.