Kravets N. Ya.
MICROBIOLOGICAL PREDICTORS OF CLINICAL COURSE OF ACUTE TONSILLITIS: APPLICATION OF LINEAR DISCRIMINANT ANALYSIS
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About the author:
Kravets N. Ya.
Heading:
MICROBIOLOGY
Type of article:
Scientific article
Annotation:
Acute tonsillitis is one of the most common infectious diseases affecting the ears, nose and throat (ENT) organs. The difficulty in distinguishing between viral and bacterial causes affects the choice of treatment. Despite progress in studying the disease, the lack of standardised approaches to predicting complications means personalised methods are necessary, including those based on the microbial profile. The aim of the study is to identify microbiological predictors of the clinical course of acute tonsillitis by analysing the microbiota of the palatine tonsils, to determine the relationship between the bacterial profile and key clinical signs (pain intensity and duration of the disease), and to build models for classifying forms of tonsillitis using linear discriminant analysis. Rapid immunochromatographic tests and bacteriological analysis of smears were used to identify the etiological agent of acute tonsillitis. Statistical modelling methods were employed in the study, including linear discriminant analysis. Clinical assessment was performed using the Centor scale, the Centor/McIsaac scale, and the visual analogue scale (VAS) for pain. The results of this study reveal the relationship between the clinical manifestations of acute tonsillitis and its viral and bacterial aetiology. The characteristic taxonomic composition of the oropharyngeal microbiota was identified, with certain groups of microorganisms proving dominant. Linear discriminant analysis enabled us to identify key microbiological and clinical predictors affecting the duration of the disease and pain intensity.
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Bibliography:
- Kordeluk S, Novack L, Puterman M, Kraus M, Joshua BZ. Relation between peritonsillar infection and acute tonsillitis: myth or reality? Otolaryngol Head Neck Surg. 2011;145(6):940-5. DOI: 10.1177/0194599811415802.
- Georgalas CC, Tolley NS, Narula PA. Tonsillitis. BMJ Clin Evid. 2014;22:e0503.
- Kocher JJ, Selby TD. Antibiotics for sore throat. Am Fam Physician. 2014;90(1):23-4.
- Alghamdi FA, Jawmin BA, Alghamdi MA, Almalki MA, Sabbagh YH, Aljemyie AA, et al. Prevalence of Acute Tonsillitis and Its Association With Oral Hygiene Among the Population of Taif City, Saudi Arabia. Cureus. 2024;16(3):e55801. DOI: 10.7759/cureus.55801.
- Gunnarsson R, Orda U, Elliott B, Heal C, Del Mar C. What is the optimal strategy for managing primary care patients with an uncomplicated acute sore throat? Comparing the consequences of nine different strategies using a compilation of previous studies. BMJ Open. 2022;12(4):e059069. DOI: 10.1136/bmjopen-2021-059069.
- Woldan-Gradalska P, Gradalski W, Gunnarsson RK, Sundvall P-D, Rystedt K. Is Streptococcus pyogenes a pathogen or passenger in uncomplicated acute sore throat? A systematic review and meta-analysis. Int J Infect Dis. 2024;145:e107100. DOI: 10.1016/j.ijid.2024.107100.
- Kravets N, Klymnyuk S, Romanyuk L, Borak V, Mykhailyshyn H. Investigation of strains of microorganisms isolated from children with recurrent tonsillitis. Georgian Med News. 2020;298:49-53.
- Katundu DR, Chussi D, van der Gaast-de Jongh CE, Rovers MM, de Jonge MI, Hannink G, et al. Bacterial colonisation of surface and core of palatine tonsils among Tanzanian children with recurrent chronic tonsillitis and obstructive sleep apnoea who underwent (adeno) tonsillectomy. J Laryngol Otol. 2024;138(1):89-92. DOI: 10.1017/S0022215123001147.
- Bobruk SV. Ratsionalna antybiotykoterapiia v likuvanni bakterialnykh tonzylitiv u ditey. Visnyk Vinnytskoho natsionalnoho medychnoho universytetu. 2018;22(2):301-5. [in Ukrainian].
- Guntinas-Lichius O, Geißler K, Mäkitie AA, Ronen O, Bradley PJ, Rinaldo A, et al. Treatment of recurrent acute tonsillitis-a systematic review and clinical practice recommendations. Front Surg. 2023;10:1221932.
- Galli J, Calò L, Posteraro B, Rossi G, Sterbini FP, Paludetti G, et al. Pediatric oropharyngeal microbiome: Mapping in chronic tonsillitis and tonsillar hypertrophy. Int J Pediatr Otorhinolaryngol. 2020;139:110478. DOI: 10.1016/j.ijporl.2020.110478.
- Wu S, Hammarstedt-Nordenvall L, Jangard M, Cheng L, Radu SA, Angelidou P, et al. Tonsillar Microbiota: a Cross-Sectional Study of Patients with Chronic Tonsillitis or Tonsillar Hypertrophy. mSystems. 2021;6(2):e01302-20. DOI: 10.1128/mSystems.01302-20.
- El Hachem EJ, Sokolovska N, Soula H. Latent dirichlet allocation for double clustering (LDA-DC): discovering patients phenotypes and cell populations within a single Bayesian framework. BMC Bioinformatics. 2023;24(1):61. DOI: 10.1186/s12859-023-05177-4.
- Ministerstvo okhorony zdorovya Ukrayiny. Tonzylit: klinichna nastanova, zasnovana na dokazakh. Kyyiv: MOZ Ukrayiny; 2021. 110 s. Dostupno: https: //www.dec.gov.ua/wp-content/uploads/2021/04/2021_639_kn_tonzylit.pdf. [in Ukrainian].
- Klymniuk SI, Sytnyk IO, Shyrobokov VP. Praktychna mikrobiolohiia. Vinnytsia: Nova Knyha; 2018. 576 s. [in Ukrainian].
- Lande DV, Subach IYu, Boiarynova YuIe. Osnovy teorii i praktyky intelektualnoho analizu danykh u sferi kiberbezpeky. K.: ISZZI KPI im. Ihoria Sikorskoho; 2018. 300 s. [in Ukrainian].
- Little P, Stuart B, Hobbs FD, Butler CC, Hay AD, Campbell J, et al. Predictors of suppurative complications for acute sore throat in primary care: prospective clinical cohort study. BMJ. 2013;347:f6867. DOI: 10.1136/bmj.f6867.
- Bourumeau W, Tremblay K, Jourdan G, Girard C, Laprise C. Bacterial Biomarkers of the Oropharyngeal and Oral Cavity during SARS- CoV-2 Infection. Microorganisms. 2023;11:2703. DOI: 10.3390/microorganisms 11112703.
- Anderson J, Paterek E. Tonsillitis. Treasure Island (FL): StatPearls Publishing; 2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544342/.
Publication of the article:
«Bulletin of problems biology and medicine», 2025 Issue 3,178, 350-357 pages, index UDC 616.322:094-002.07:519.237.5