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European countries struggled with the problem of self-medication with antibiotics and found that the belief in the appropriateness of self-medication with antibiotics for bronchitis and the perceived availability of antibiotics without a prescription was associated with an increased likelihood of self-medication. As some vendors have multiple URLs to reach their company, we checked the mailing address, title and phone number to avoid double counting. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. We compared identifying telephone numbers, street addresses, and site headers for each site as a way to sort out duplication. Third, we could not to determine how often pharmaceuticals purchased over the Internet were not genuine, inactive, out of date, or adulterated. 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. In addition, the ability of Internet-based companies to exist without an identifiable physical location or property makes the location and writing of FDA instructions extremely difficult. Fifth, we estimated the expected delivery time to take antibiotics. The frequency of relevant Web sites declined substantially after the first 300. First, although all of the included providers would sell antibiotics without a prescription, we assessed whether the supplier would sell antibiotics without any form of prescription or whether a prescription created for the purchase based on the completion of an online medical history was required. The links to these advertised sites were also investigated. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. 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. There are several limitations to this study. That these companies can be located in countries outside US jurisdictions complicates enforcement of US laws.