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Fourth, we have limited our count to English language websites. 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. Fifth, we estimated the expected delivery time to take antibiotics. Antibiotic resistance is a common problem, however, and has been described with numerous infectious agents and in varying contexts. 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. 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. 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. 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. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. Because of its effect on morbidity and mortality, antibiotic resistance is considered a threat to US health and national security by the Institute of Medicine and the Infectious Diseases Society of America. In our analysis of evidence of the concept of buying 6 tablets of azithromycin, 500 mg each. As a result, most community assessments of antibiotic reservoirs are based on assessments by prescribing clinician behavior. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. No prescription was required, and no online consultation was necessary. 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. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem.