Chromatographic studies and microbiological assays show that, after oral administration, cephaloglycin is partially converted in man to a biologically active metabolite desacetylcephaloglycin. The antibacterial activity of this metabolite compared to that of cephaloglycin is equivalent against gram-positive organisms but is lower against gram-negative bacilli. Successful therapy of urinary tract infections with cephaloglycin must be mainly attributed to the antibacterial activity of this metabolite. At the present time, it is not possible to assess what influence low amounts of unaltered cephaloglycin have on the outcome of therapy. Cephaloglycin is a broad-spectrum, orally absorbed, cephalosporin antibiotic (16). As with cephalothin (9), the cephaloglycin molecule possesses an acetyl group that can be removed by nonenzymatic hydrolysis or by esterase enzymatic activity. Cephaloglycin is also partially deacetylated in humans (5, 13). Desacetylcephaloglycin, a biologically active metabolite, can be prepared by deacetylation of cephaloglycin with a citrus acetyl esterase. The yields of crystalline compound using this complex procedure are very low. Nevertheless, limited quantities of desacetylcephaloglycin were prepared to assess the extent of deacetylation after oral administration of cephaloglycin to humans. In addition, data pertaining to chemical and biological comparisons of cephaloglycin and its metabolite are presented. MATERIALS AND METHODS Antibiotics. Cephaloglycin dihydrate was employed in these experiments. The desacetylcephaloglycin used was prepared in the Lilly Laboratories by S. Kukolja (8). Microbiological assays. Disc-plate assays with Bacillus subtilis strain ATCC 6633 or Sarcina lutea strain PCI-1001-FDA were used to determine concentrations of cephaloglycin or desacetylcephaloglycin in human serum or urine. Serum specimens were drawn at 0, 1, and 2 hr after oral administration of single doses of 500 mg of cephaloglycin to male volunteers. Urine was collected for periods of 0 to 2, 2 to 4, and 4 to 8 hr. All specimens were assayed immediately. Chromatography. Cephaloglycin levels in the presence of desacetylcephaloglycin in body fluids were determined by a modification of the paper chromatographic method of Hoehn and Pugh (6). Serum and