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...

I think there are a few problems or nuances involved in answering this broad question:

First, other practitioners may use other IV cephalosporins, but we only use cefazolin, ceftriaxone, cefepime, and ceftazidime (as part of Avycaz).

Second, the calculated CrCl often poorly correlates with the patient...