Would you avoid using cephalosporins in a patient with a history of cephalosporin neurotoxicity in the setting of CKD?  

In elderly patients with underlying CNS disease, renal dysfunction and prior history of cephalosporin neurotoxicity, I would avoid the use of Cephalosporin therapy if possible. If there are not other alternatives, I would strive to give the lowest possible therapeutic dose of the antibiotic to dimin...