{"id":5011,"date":"2018-03-16T19:36:36","date_gmt":"2018-03-16T19:36:36","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=950"},"modified":"2026-03-10T18:50:17","modified_gmt":"2026-03-10T18:50:17","slug":"2015-jones-criteria","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/2015-jones-criteria\/","title":{"rendered":"The 2015 Jones Criteria for Acute Rheumatic Fever (ARF)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The changes improve the diagnosis of ARF among moderate\/high-risk populations and re-establish the Jones criteria as the international gold standard for ARF diagnosis.<br \/>\n<!--more--><br \/>\n<strong>2015 Revised Jones Criteria<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td>A. For all patient populations with evidence of preceding GAS infection<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Diagnosis: initial ARF<br \/>\nDiagnosis: recurrent ARF<\/td>\n<td>2 Major manifestations or 1 major plus 2 minor\u00a0manifestations<br \/>\n2 Major or 1 major and 2 minor or 3 minor<\/td>\n<\/tr>\n<tr>\n<td>B. Major criteria<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Low-risk populations*<br \/>\nCarditis\u2020<br \/>\n\u2022 Clinical and\/or subclinical<br \/>\nArthritis<br \/>\n\u2022 Polyarthritis only<br \/>\nChorea<br \/>\nErythema marginatum<br \/>\nSubcutaneous nodules<\/td>\n<td>Moderate- and high-risk populations<br \/>\nCarditis<br \/>\n\u2022 Clinical and\/or subclinical<br \/>\nArthritis<br \/>\n\u2022 Monoarthritis or polyarthritis<br \/>\n\u2022 Polyarthralgia\u2021<br \/>\nChorea<br \/>\nErythema marginatum<br \/>\nSubcutaneous nodules<\/td>\n<\/tr>\n<tr>\n<td>C. Minor criteria<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Low-risk populations*<br \/>\nPolyarthralgia<br \/>\nFever (\u226538.5 \u00b0C)<br \/>\nESR \u226560 mm in the first hour and\/or CRP \u22653.0 mg\/dL\u00a7<br \/>\nProlonged PR interval, after accounting for age variability\u00a0(unless carditis is a major criterion)<\/td>\n<td>Moderate- and high-risk populations<br \/>\nMonoarthralgia<br \/>\nFever (\u226538 \u00b0C)<br \/>\nESR \u226530 mm\/h and\/or CRP \u22653.0 mg\/dL\u00a7<br \/>\nProlonged PR interval, after accounting for age\u00a0variability (unless carditis is a major criterion)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>ARF indicates acute rheumatic fever; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; and GAS, group A\u00a0streptococcal infection.<br \/>\n*Low-risk populations are those with ARF incidence \u22642 per 100 000 school-aged children or all-age rheumatic heart\u00a0disease prevalence of \u22641 per 1000 population per year.<br \/>\n\u2020Subclinical carditis indicates echocardiographic valvulitis.<br \/>\n\u2021As in past versions of the criteria, erythema marginatum and subcutaneous\u00a0nodules are rarely \u201cstand-alone\u201d major criteria. Additionally, joint manifestations can only be considered in either the major\u00a0or minor categories but not both in the same patient.<br \/>\n\u00a7CRP value must be greater than upper limit of normal for laboratory. Also, because ESR may evolve during the course\u00a0of ARF, peak ESR values should be used.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J, Remenyi B, Taubert KA, Bolger AF, Beerman L, Mayosi BM, Beaton A, Pandian NG, Kaplan EL; American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young. Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association.\u00a0Circulation. 2015 May 19;131(20):1806-18. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25908771\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Beaton A, Carapetis J. The 2015 revision of the Jones criteria for the diagnosis of acute rheumatic fever: implications for practice in low-income and middle-income countries.\u00a0Heart Asia. 2015 Aug 19;7(2):7-11. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27326214\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Hirani K, Rwebembera J, Webb R, Beaton A, Kado J, Carapetis J, Bowen A. Acute rheumatic fever. Lancet. 2025 Jun 14;405(10495):2164-2178. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40484016\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Mar 15, 2018.<br \/>\nUp-date Mar 10, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[1974,231,230,1808,16,15,802,801,55,1604,1274],"class_list":["post-5011","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-1974","tag-acute","tag-aguda","tag-arf","tag-criteria","tag-criterios","tag-fever","tag-fiebre","tag-jones","tag-reumatica","tag-rheumatic"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/5011","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=5011"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/5011\/revisions"}],"predecessor-version":[{"id":10691,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/5011\/revisions\/10691"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=5011"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=5011"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=5011"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}