A needs assessment study for optimising prescribing practice in secondary care junior doctors: the Antibiotic Prescribing Education among Doctors (APED)

Table 3 Multiple Logistic regression examining associated factors with confidence prescribing antimicrobials as a junior doctor (n = 140)

Associated factors	Unadjusted OR	[95 % CI]	Crude p-value^b	Adjusted OR	[95 % CI]	Adjusted p-value^b
Gender
Female	1^a
Male	2.52	[1.00–6.55]	0.05
Age (year)
22–25	1^a
26–29	3.17	[1.13–8.93]	0.03
30+	3.03	[0.79–11.61]	0.11
Stage of medical training
1^st year post-qualified	1^a			1^a
2^nd year post-qualified	6.30	[1.71–23.12]	<0.01	6.97	[1.25–38.98]	0.03
≥ 3^rd year post-qualified	6.30	[1.71–23.12]	<0.01	5.43	[1.01–29.17]	0.05
Medical degree training
4 years graduate course	1^a
5 years undergraduate entry	1.91	[0.52- 6.99]	0.33
6 years undergraduate entry	1.48	[0.36–6.20]	0.59
Frequency of antimicrobial prescribing
≤ once a week	1^a			1^a
2–4 times/week	2.04	[0.59–7.09]	0.26	9.28	[1.32–65.15]	0.02
≥ 1/day	1.63	[0.47–5.60]	0.44	5.24	[0.87–31.68]	0.07
Prescribing alone or not
Mostly with a more senior doctor	1^a			1^a
Sometimes with a more senior doctor	0.76	[0.30–1.94]	0.57	0.56	[0.17–1.80]	0.33
Primarily without senior supervision	15.61	[1.92–127.25]	0.01	10.97	[1.02–117.71]	0.05
To find easy to decide to de-escalate
No	1^a			1^a
Yes	8.05	[1.57–41.17]	0.01	11.66	[1.59–85.56]	0.02
Sometimes	1.69	[0.63–4.55]	0.30	3.40	[0.89–12.98]	0.07
From whom they learnt the most about antimicrobial prescribing
Doctors in my specialty training	1^a
Consultants	1.47	[0.16–13.70]	0.73
Infection specialists/ microbiologists	0.88	[0.29–2.65]	0.81
Pharmacists	0.39	[0.12–1.25]	0.11
Want more training
No	1^a			1^a
Yes	0.32	[0.09–1.15]	0.08	0.15	[0.03–0.69]	0.01
Don’t know	0.16	[0.02–1.00]	0.05	0.11	[0.01–1.14]	0.06

ISSN: 1471-2334