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We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. The medical community and the public health and regulating agencies, as well as pharmaceutical companies, need to expand efforts to control antibiotic resistance beyond initiatives centered on prescribing behavior to include self-medication and sources of antibiotics obtained without prescription. Patients are increasingly using the Internet not only to access health information but also to obtain medication. Even with these strategies, however, it was difficult to know whether one corporation still owns and manages several locations. There are several limitations to this study. We considered more than 6 pills to be excessive and could lead to future self-medication with the unused pills. To examine the types of Web sites and vendors dispensing antibiotics on the Internet, we conducted a search using 2 major search engines (Google and Yahoo) and the key words "purchase antibiotics without prescription" and "online (English only). 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. All these obstacles cause the illegal acquisition of antibiotics by patients. Antibiotics serve a useful therapeutic purpose in treating and controlling the effects of infectious agents. 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. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. Previous research suggests that a patient's past experience of care seeking and treatment use influences future expectations for treatment of respiratory tract infections. That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws.