The Effect of Ciprofloxacin on Prostate-Specific Antigen (PSA)
DOI:
https://doi.org/10.55324/ijoms.v2i2.279Keywords:
PSA, antibiotics, prostate cancer, prostatitisAbstract
Increased PSA levels can be caused by prostate cancer, prostate infection, and BPH. Several studies report that the use of antibiotics can affect PSA levels. This study aims to determine the effect of ciprofloxacin administration in patients with prostate-specific antigen values ??of 4-10 ng/mL. This was an analytical study with a prospective cohort design. This study was conducted at Dr. M. Djamil Hospital, Padang starting from July 2022 until October 2022. The sampling technique used non-probability sampling with consecutive sampling method. The patient was given the antibiotic ciprofloxacin 2x500 mg for 2 weeks. PSA measurements were carried out before and after administration of antibiotics. There were 20 subject with an average age of 62.65 years (52-79). The mean of initial PSA value was 6.53 ng/mL and the final PSA value was 5.76 ng/mL. There was a significant difference between PSA levels before and after administration of ciprofloxacin (p=0.000). The use of antibiotics in patients with PSA levels of 4-10 ng/ml can reduce PSA levels.
References
al Jalham, K., Younes, N., Badawi, A., Khalafalla, K., & Majzoub, A. (2016). Antibiotics for elevated prostate specific antigen: Where do we stand? Urological Science, 27(3), 154–157. https://doi.org/10.1016/j.urols.2016.05.314
American Cancer Society. (n.d.). Key statistics for prostate cancer. Retrieved October 15, 2022, from https://www.cancer.org
Atalay, H. A., Canat, L., Alkan, ?., Çakir, S. S., & Altunrende, F. (2017). Prostate-specific antigen reduction after empiric antibiotic treatment does not rule out biopsy in patients with lower urinary tract symptoms: prospective, controlled, single-center study. Prostate International, 5(2), 59–64. https://doi.org/10.1016/j.prnil.2017.03.003
Buddingh, K. T., Maatje, M. G. F., Putter, H., Kropman, R. F., & Pelger, R. C. M. (2018). Do antibiotics decrease prostate-specific antigen levels and reduce the need for prostate biopsy in type IV prostatitis? A systematic literature review. Canadian Urological Association Journal, 12(1), E25–E30. https://doi.org/10.5489/cuaj.4515
David, M. K., & Leslie, S. W. (2022). Prostate specific antigen. NCBI Bookshelf, 1–6.
Duffy, M. J. (2020). Biomarkers for prostate cancer: Prostate-specific antigen and beyond. Clin Chem Lab Med, 58(3), 326–339.
Fandella, A., Benvenuto, S., Guidoni, E., Giampaoli, M., & Bertaccini, A. (2014). Empiric antibiotics therapy for mildly elevated prostate specific antigen: Helpful to avoid unnecessary biopsies? Archivio Italiano Di Urologia e Andrologia, 86(3), 202–204. https://doi.org/10.4081/aiua.2014.3.202
Gandaglia, G., Albers, P., Abrahamsson, P. A., Briganti, A., Catto, J. W. F., Chapple, C. R., Montorsi, F., Mottet, N., Roobol, M. J., Sønksen, J., Wirth, M., & van Poppel, H. (2019). Structured population-based prostate-specific antigen screening for prostate cancer: The European association of urology position in 2019. European Urology, 76(2), 142–150. https://doi.org/10.1016/j.eururo.2019.04.033
H, K. M., Mehta, N. H., Babu, M., Bansal, D., Mehta, S., Pillai, B. S., & Sam, M. P. (2017). Can antibiotic therapy avoid unnecessary biopsy in males with marginally elevated PSA levels?? X(2), 66–70.
Kanani, S., Mujtaba, N., & Sadler, P. (2021). Acute and chronic prostatitis. InnovAiT: Education and Inspiration for General Practice, 14(1), 33–37. https://doi.org/10.1177/1755738020966359
Karakose, A., Bilgehan Yuksel, M., Pirincci, N., Gorgel, S. N., Atesci, Y. Z., & Gumus, B. (2015). The effect of antibiotherapy on high serum PSA levels. In Eastern Journal of Medicine (Vol. 20).
Karakose, A., Yuksel, M. B., Pirincci, N., Gorgel, S. N., Atesci, Y. Z., & Gumus, B. (2015). The effect of antibiotherapy on high serum PSA levels. Eastern Journal of Medicine, 20(1), 30–33.
Khan, F. U., Ihsan, A. U., Khan, H. U., Jana, R., Wazir, J., Khongorzul, P., Waqar, M., & Zhou, X. (2017). Comprehensive overview of prostatitis. Biomedicine and Pharmacotherapy, 94, 1064–1076. https://doi.org/10.1016/j.biopha.2017.08.016
Leslie, S. W., Soon-Sutton, T. L., Sajjad, H., & Siref., L. E. (2022). Prostate cancer. StatPearls.
Matsushita, M., Fujita, K., & Nonomura, N. (2020). Influence of diet and nutrition. Int J Med Sci, 21, 1–18. https://doi.org/10.4155/EBO.13.494
Moradi, A., Srinivasan, S., Clements, J., & Batra, J. (2019). Beyond the biomarker role: prostate-specific antigen (PSA) in the prostate cancer microenvironment. Cancer and Metastasis Reviews, 38(3), 333–346. https://doi.org/10.1007/s10555-019-09815-3
Nordström, T., Akre, O., Aly, M., Grönberg, H., & Eklund, M. (2018). Prostate-specific antigen (PSA) density in the diagnostic algorithm of prostate cancer. Prostate Cancer and Prostatic Diseases, 21(1), 57–63. https://doi.org/10.1038/s41391-017-0024-7
Özman O, & Talat Z. (2019). New parameters in evaluation of PSA decrease after antibiotherapy; PSA half-life and PSA-ENT. International Archives of Urology and Complications, 5(1). https://doi.org/10.23937/2469-5742/1510054
Pernar, C. H., Ebot, E. M., Wilson, K. M., & Mucci, L. A. (2018). The epidemiology of prostate cancer. Cold Spring Harbor Perspectives in Medicine, 8(12). https://doi.org/10.1101/CSHPERSPECT.A030361
Putra, I. B. O. W., Hamid, A. R. A. H., Mochtar, C. A., & Umbas, R. (2016). Relationship of age, prostate-specific antigen, and prostate volume in Indonesian men with benign prostatic hyperplasia. Prostate International, 4(2), 43–48. https://doi.org/10.1016/j.prnil.2016.03.002
Rajakumari, S. N., Arasi, K. v, & Anandan, H. (2019). Serum prostate-specific antigen following antibiotics in symptomatic patients with lower urinary tract symptoms. In International Journal of Scientific Study (Vol. 32, Issue 1). www.ijss-sn.com
Rebello, R. J., Oing, C., Knudsen, K. E., Loeb, S., Johnson, D. C., Reiter, R. E., Gillessen, S., Van der Kwast, T., & Bristow, R. G. (2021). Prostate cancer. Nature Reviews Disease Primers, 7(1). https://doi.org/10.1038/s41572-020-00243-0
Serretta, V., Catanese, A., Daricello, G., Liotta, R., Allegro, R., Martorana, A., Aragona, F., & Melloni, D. (2008). PSA reduction (after antibiotics) permits to avoid or postpone prostate biopsy in selected patients. Prostate Cancer and Prostatic Diseases, 11(2), 148–152. https://doi.org/10.1038/sj.pcan.4500996
Sfanos, K. S., Yegnasubramanian, S., Nelson, W. G., & De Marzo, A. M. (2018). The inflammatory microenvironment and microbiome in prostate cancer development. Nature Reviews Urology, 15(1), 11–24. https://doi.org/10.1038/nrurol.2017.167
Siegel, D. A., O’Neil, M. E., Richards, T. B., Dowling, N. F., & Weir, H. K. (2020). Prostate cancer incidence and survival, by stage and race/ethnicity — United States, 2001–2017. MMWR. Morbidity and Mortality Weekly Report, 69(41), 1473–1480. https://doi.org/10.15585/mmwr.mm6941a1
Taha, D. E., Aboumarzouk, O. M., Koraiem, I. O., & Shokeir, A. A. (2020). Antibiotic therapy in patients with high prostate-specific antigen: Is it worth considering? A systematic review. Arab Journal of Urology, 18(1), 1–8. https://doi.org/10.1080/2090598X.2019.1677296
Toktas, G., Demiray, M., Erkan, E., Kocaaslan, R., Yucetas, U., & Unluer, S. E. (2013). The effect of antibiotherapy on prostate-specific antigen levels and prostate biopsy results in patients with levels 2.5 to 10 ng/mL. Journal of Endourology, 27(8), 1061–1067. https://doi.org/10.1089/end.2013.0022
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