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Criteria

2015 revised Jones criteria

The 2015 rule for diagnosing a first attack of acute rheumatic fever: evidence of a preceding streptococcal infection plus two major manifestations, or one major and two minor.

Also called: 2015 diagnostic criteria, 2015 Jones criteria, Jones criteria

Criteria not met

1 evidence + 2 major high risk, or 1 evidence + 1 major high risk + 2 minor high risk

Variant
Evidence of preceding group A streptococcal infection
Major manifestations, low-risk population
Minor manifestations, low-risk population
Major manifestations, moderate- to high-risk population
Minor manifestations, moderate- to high-risk population

Educational use only. Guideline: American Heart Association revision of the Jones criteria, 2015. Source: CDC. Diagnosing Acute Rheumatic Fever. 2025. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/diagnosing-acute-rheumatic-fever.html; Gewitz MH, et al. Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in the Era of Doppler Echocardiography. Circulation. 2015. https://doi.org/10.1161/CIR.0000000000000205; World Health Organization. WHO guideline on the prevention and diagnosis of rheumatic fever and rheumatic heart disease. 2024. https://www.who.int/publications/i/item/9789240100077.

Learn it in

Card id: 2015-revised-jones-criteria

Sources

  • CDC. Diagnosing Acute Rheumatic Fever. 2025. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/diagnosing-acute-rheumatic-fever.html
  • Gewitz MH, et al. Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in the Era of Doppler Echocardiography. Circulation. 2015. https://doi.org/10.1161/CIR.0000000000000205
  • World Health Organization. WHO guideline on the prevention and diagnosis of rheumatic fever and rheumatic heart disease. 2024. https://www.who.int/publications/i/item/9789240100077

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