Does the presence of a positive viral respiratory pathogen panel PCR make you more or less likely to prescribe empiric antibiotics for a non-severe acute exacerbation of COPD in the outpatient setting?

Would a (+) viral respiratory pathogen panel PCR make you more likely prescribe empiric antibiotics for an acute exacerbation of COPD in the outpatient setting?

• Yes, they are more likely for secondary bacterial infections
• Yes, they are more likely to benefit from any "anti-inflammatory" effects of antibiotics
• Yes, they are more likely to progressive to a more severe exacerbation
• Maybe, it depends on how much wheezing I hear on exam
• Maybe, it depends on if there is a consolidation on chest XR
• No, this alone would not push me to prescribe an antibiotic
• Other