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Background: Improved antibiotic stewardship AS and reduced prescribing in primary care, with a parallel increase in personal internet use, could lead citizens to obtain antibiotics from alternative sources online. Results: Twenty unique URL addresses were analysed in detail. Conclusions: Wide variation exists among online pharmacies in relation to antibiotic practices, highlighting considerable patient safety and AS issues. Antimicrobial stewardship AMS is recognized as the organizational or healthcare-system-wide approach to promoting and monitoring the judicious use of antimicrobials, 1 such as antibiotics. Co-ordinated interventions within antibiotic stewardship AS programmes are designed to achieve optimal clinical outcomes whilst minimizing adverse events and antibiotic resistance.

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