How do narrow-spectrum antibiotics differ from broad-spectrum antibiotics?

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Antibiotics are categorized by their spectrum of activity, which defines the range of microorganisms they affect.1

Broad-spectrum agents are particularly useful for treating mixed infections or when there is insufficient time to conduct sensitivity tests. However, their use can alter the balance of normal microorganisms on the skin and mucosal surfaces, potentially allowing resistant organisms to multiply and cause secondary infections.24

Extended-spectrum antibiotics represent a further category, typically created through chemical modification to affect additional types of bacteria, often those that are gram-negative.1