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Although more than half of the identified sites provided online consultation for prescribing, the lack of interaction between the patient and the doctor did not lead to any opportunity for patient education. 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. 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. The vendors identified in this study do not appear to be fearful of prosecution. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. For example, we found that servers at Dartmouth College, East Carolina University, University of Pittsburgh, Carnegie Mellon University, and California State University in San Francisco were all used, most likely without their knowledge, to be reassigned to online pharmacies. Reducing inappropriate use of antibiotics is key to many antibiotic resistance initiatives. There are several limitations to this study. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. Patients are increasingly using the Internet not only to access health information but also to obtain medication. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. 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.