$dbtoadd = "someNewDb";
//mysql connect stuff here
$query = "SHOW DATABASES";
$result = mysql_query($query);
$dbExists = false;
while($data = mysql_fetch_row($result)) {
if($data[0] == $dbtoadd) {
$dbExists = true;
break;
}
}
if ($dbExists) {
//dont create
} else {
/do create
}