\documentclass[10pt]{article}

\usepackage{fullpage}
\usepackage{setspace}
\usepackage{parskip}
\usepackage{titlesec}
\usepackage[section]{placeins}
\usepackage{xcolor}
\usepackage{breakcites}
\usepackage{lineno}
\usepackage{hyphenat}





\PassOptionsToPackage{hyphens}{url}
\usepackage[colorlinks = true,
            linkcolor = blue,
            urlcolor  = blue,
            citecolor = blue,
            anchorcolor = blue]{hyperref}
\usepackage{etoolbox}
\makeatletter
\patchcmd\@combinedblfloats{\box\@outputbox}{\unvbox\@outputbox}{}{%
  \errmessage{\noexpand\@combinedblfloats could not be patched}%
}%
\makeatother


\usepackage{natbib}




\renewenvironment{abstract}
  {{\bfseries\noindent{\abstractname}\par\nobreak}\footnotesize}
  {\bigskip}

\titlespacing{\section}{0pt}{*3}{*1}
\titlespacing{\subsection}{0pt}{*2}{*0.5}
\titlespacing{\subsubsection}{0pt}{*1.5}{0pt}


\usepackage{authblk}


\usepackage{graphicx}
\usepackage[space]{grffile}
\usepackage{latexsym}
\usepackage{textcomp}
\usepackage{longtable}
\usepackage{tabulary}
\usepackage{booktabs,array,multirow}
\usepackage{amsfonts,amsmath,amssymb}
\providecommand\citet{\cite}
\providecommand\citep{\cite}
\providecommand\citealt{\cite}
% You can conditionalize code for latexml or normal latex using this.
\newif\iflatexml\latexmlfalse
\providecommand{\tightlist}{\setlength{\itemsep}{0pt}\setlength{\parskip}{0pt}}%

\AtBeginDocument{\DeclareGraphicsExtensions{.pdf,.PDF,.eps,.EPS,.png,.PNG,.tif,.TIF,.jpg,.JPG,.jpeg,.JPEG}}

\usepackage[utf8]{inputenc}
\usepackage[ngerman,english]{babel}



\usepackage{float}








\begin{document}

\title{Letter to the Editor: Impact of antimicrobial selection for prophylaxis
of left ventricular assist device surgical infections.}



\author[1]{SYED ABDUL REHMAN SHAH}%
\author[2]{Ahmad hayat}%
\author[3]{Satesh Kumar}%
\affil[1]{Dow University of Health Sciences}%
\affil[2]{Punjab Medical College}%
\affil[3]{Shaheed Mohtarma Benazir Bhutto Medical College}%


\vspace{-1em}



  
  \date{May 21, 2024}


\begingroup
\let\center\flushleft
\let\endcenter\endflushleft
\maketitle
\endgroup








\sloppy


\textbf{TITLE:} Letter to the Editor: Impact of antimicrobial selection
for prophylaxis of left ventricular assist device surgical infections.

\textbf{ARTICLE TYPE:} letter to the editor

\textbf{CORRESPONDENCE:} 1. SYED ABDUL REHMAN SHAH

Contact; +92 3350238188 Email; arshah321@gmail.com

Institute: Dow University of Health Sciences, karachi

Address; H\#2 G\#50/4/2/2 Umar bungalows A Rehman street garden east
Karachi

\section*{Co-Author; 2. Ahmad hayat}

{\label{co-author-2.-ahmad-hayat}}

Contact: +92 3218200700 Email: ahayat1149@gmail.com

Institute: Punjab Medical College, Faisalabad

Address: Dera ater ka Mianwal Ranjha Tehsil and District. Mandi
Bahauddin

\textbf{3.} Satesh Kumar

Contact: +92-3325252902 Email: Kewlanisatish@gmail.com

Institute: Shaheed Mohtarma Benazir Bhutto Medical College Liyari,
Karachi

Address: Parsa citi Garden east, Karachi

\textbf{Words count:} 327

\textbf{Conflict of interest;} none

\textbf{Disclosure;} none

\textbf{Funding;} none

\textbf{Letter:}

To the Editor:

A recently published article by Peter T. Nguyen et
al.\textsuperscript{1}'' Impact of antimicrobial selection for
prophylaxis of left ventricular assist device surgical infections''
catches our eyes of interest. The efforts made by the authors are of
great importance and ought to be recognized by the readers. The last
point made by the author is that gram-positive organisms should be
covered as a priority during the implantation protocols of the left
ventricular assist device.~ Considering the study's limitations, the
retrospective design of this study raised many concerns as it is prone
to be affected by reporting bias due to not recalling properly, which
leads to indecorous documentation; this would be fair if the author has
used data of the present times. This study is also threatened by
publication bias because it has included participants from one selected
location; it significantly affects the methodological quality, which
would be corrected by conducting a multicenter study. In addition, the
article does not contain information about antibiotics used to prevent
infections. The other studies would have provided insight into the
specificity of this case.\textsuperscript{2,3} Meropenem, linezolide and
vancomycin were the most effective and widely used antibiotics of any
antibiotic used. Given scrub-in procedures, which is the weakness of
this study, another study highlighted that the driveline exit site
should be diluted with hydrogen peroxide, and germicide occlusive gauze
should be used for wound care.\textsuperscript{3} Upon completion of the
process, negative pressure wound therapy may be used for rapid recovery.
In addition, a study mentioned technical approaches for LVAD, including
standard strategies like full median sternotomy and sternotomy sparing
approaches like full lateral thoracotomy and less invasive strategy; the
author fails to mention these in this
article.\textsuperscript{4}~~Finally, it was discovered that there was a
patient follow-up issue due to lack of knowledge or non-serious
behaviour, which resulted in inadequate documentation. However, it is
seen in another article,\textsuperscript{5} since they managed to stay
in contact with their patients 2 years after the
transplant.~\textbf{References:}

\begin{enumerate}
\tightlist
\item
  Nguyen, P. T., Sam, T., Colley, P., van Zyl, J. S., Felius, J., Berhe,
  M., \& Meyer, D. (2021). Impact of antimicrobial selection for
  prophylaxis of left ventricular assist device surgical
  infections.~\emph{Journal of cardiac surgery} ,~\emph{36} (9),
  3052--3059. https://doi.org/10.1111/jocs.15682
\item
  Angleitner, P., Matic, A., Kaider, A., Dimitrov, K., Sandner, S.,
  Wiedemann, D., Riebandt, J., Schl\selectlanguage{ngerman}öglhofer, T., Laufer, G., \& Zimpfer,
  D. (2020). Blood stream infection and outcomes in recipients of a left
  ventricular assist device.~\emph{European journal of cardio-thoracic
  surgery : official journal of the European Association for
  Cardio-thoracic Surgery} ,~\emph{58} (5), 907--914.
  https://doi.org/10.1093/ejcts/ezaa153
\item
  Hieda, M., Sata, M., \& Nakatani, T. (2015). The Importance of the
  Management of Infectious Complications for Patients with Left
  Ventricular Assist Device.~\emph{Healthcare (Basel, Switzerland)}
  ,~\emph{3} (3), 750--756. https://doi.org/10.3390/healthcare3030750
\item
  Loforte A, Gliozzi G, Mariani C, Cavalli GG, Martin-Suarez S, Pacini
  D. Ventricular assist devices implantation: surgical assessment and
  technical strategies. Cardiovasc Diagn Ther. 2021 Feb;11(1):277-291.
  doi: 10.21037/cdt-20-325. PMID: 33708499; PMCID: PMC7944211.
\item
  Patel CB, Blue L, Cagliostro B, Bailey SH, Entwistle JW, John R,
  Thohan V, Cleveland JC Jr, Goldstein DJ, Uriel N, Su X, Somo SI, Sood
  P, Mehra MR. Left ventricular assist systems and infection-related
  outcomes: A comprehensive analysis of the MOMENTUM 3 trial. J Heart
  Lung Transplant. 2020 Aug;39(8):774-781. doi:
  10.1016/j.healun.2020.03.002. Epub 2020 Mar 20. PMID: 32276809.
\end{enumerate}

\selectlanguage{english}
\FloatBarrier
\end{document}

