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In some cases the URL did not take the reader to an actual medication vendor; rather, the Web site contained multiple advertisements and links to other sites for purchasing antibiotics. 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. After completing the online medical history, the customer would be given a prescription that would allow the purchase to be completed. Since the websites suggested a range of days for the expected treatment receipt, we used the median to represent the expected delivery time. Fourth, we have limited our count to English language websites. Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade. Finally, in order to determine whether these sites actually provide a product that they intended to sell over the counter, we submitted an online order to 1 vendor for 6 tablets of azithromycin, 500 mg each. In the case of online histories to justify a prescription, we assumed that individuals are primarily purchasing antibiotics for an acute problem. 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. Even with these strategies, however, it was difficult to know whether one corporation still owns and manages several locations. This decrease was interpreted as evidence that the full use of antibiotics was also reduced. If those who are self-medicating are taught that they put their own health at risk, they may be less likely to use these online pharmacies. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. We classified Web sites of vendors according to several variables. All these obstacles cause the illegal acquisition of antibiotics by patients. 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.