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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. Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade. Moreover, pharmaceutical companies may need to monitor who is selling their products and through what mechanisms. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Previous research suggests that a patient's past experience of care seeking and treatment use influences future expectations for treatment of respiratory tract infections. Increased regulation of sites outside of controlled substances to include antibiotics seems guaranteed and necessary. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. Even with these strategies, however, it was difficult to know whether one corporation still owns and manages several locations. Thus, vendors targeting foreign-language speakers in the United States would have been missed. If patients who are now denied antibiotics through their physician can access over-the-counter medications, the overall level of antibiotic use in the general population can actually increase and thus have a significant effect on rates of resistance to microbial degradation. Our study suggests that the opposite might be the case. This phenomenon has not been the focus of initiatives to control antibiotic resistance. Our final list of URLs included 184 links to single vendors of antibiotics. In addition, the available quantities and the interval between prescribing and receiving treatment suggest that these transactions will likely be used by people storing drugs for future self-diagnosis and treatment, or for sale. Although excessive consumption of antibiotics has contributed to the spread of antibiotic resistance, 4-6 most initiatives regarding inappropriate direct human consumption of the antibiotic therapy center are almost exclusively controlled by prescribing by healthcare clinicians. First, this study provides a sample of websites and providers, and thus may not be indicative of all suppliers selling over-the-counter antibiotics.

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