Gram-positive cocci in short chains
Predominantly nosocomial , associated with prior antibiotics
Endocarditis (usually subacute)
Intra-abdominal or hepatobiliary infection
More likely to cause true infection in immunocompromised individuals or after selection pressure from antimicrobial administration has eliminated other organisms.
Additional Precautions (Contact or Droplet depending on clinical scenario) for clinical infections. Routine practices for colonization.