Which of the following is a type of multidrug-resistant bacteria that affects gonorrhea?

The correct choice refers to a specific class of bacteria known for producing extended-spectrum beta-lactamases (ESBLs), which are enzymes that confer resistance to a range of beta-lactam antibiotics. Neisseria gonorrhoeae, the causative agent of gonorrhea, has developed resistance to several antibiotics over time, leading to multidrug-resistant strains.

In recent years, some strains of Neisseria gonorrhoeae have shown resistance to not only the traditional treatments but also to newer options that would usually be effective against it. The emergence of these multidrug-resistant strains makes ESBL production especially relevant, as it highlights the mechanisms through which bacteria can evade treatment.

The other options listed, such as Clostridium difficile and Escherichia coli, are significant in their own right regarding antibiotic resistance but are not specifically categorized as multidrug-resistant bacteria affecting gonorrhea. Clostridium difficile commonly causes antibiotic-associated diarrhea rather than gonorrhea, and while Escherichia coli can have strains with resistance issues, they are not primarily known for gonorrhea.

Therefore, highlighting the role of extended-spectrum beta-lactamase-producing bacteria captures the clinical realities of treating infections like gonorrhea that are increasingly