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After completing the online medical history, the customer would be given a prescription that would allow the purchase to be completed. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. Clinicians evaluating the patient's use of self-medication when taking a medical history may function as an important opportunity to tell patients about not only antibiotic resistance, but also potential interactions between antibiotics and other prescription drugs. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. Although providing over-the-counter drugs is illegal in the United States, failure to enforce US laws likely encourages these companies to sell their products to patients. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. For this second group, no prescription from a doctor or clinical physician was necessary before gaining access to the site. The vendors identified in this study do not appear to be fearful of prosecution. This activity suggests that some vendors are aware of the questionable legitimacy of their business. Some prescription medication is sold without a valid prescription, which is a violation of the Federal Food, Drug, and Cosmetic Act. 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). All these obstacles cause the illegal acquisition of antibiotics by patients. The frequency of relevant Web sites declined substantially after the first 300. 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. Fourth, we categorized whether a person could buy antibiotics, especially broad-spectrum antibiotics, in quantities greater than what would be considered adequate 1 course of treatment for acute respiratory tract infection. 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.