Revised 2015 Jones criteria - MODERATE/HIGH-risk population thresholds (applicable to India).
The Jones Criteria (Acute Rheumatic Fever) is a cardiac scoring tool used in paediatric practice. Revised 2015 Jones criteria - MODERATE/HIGH-risk population thresholds (applicable to India). It scores 9 criteria and interprets the total across 3 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
9. They are MAJOR - Carditis (clinical and/or subclinical on echo); MAJOR - Arthritis: mono- or polyarthritis, or polyarthralgia; MAJOR - Chorea; MAJOR - Erythema marginatum; MAJOR - Subcutaneous nodules; MINOR - Monoarthralgia; and others.
The total is interpreted as: any score - Criteria not met: does not meet the revised Jones criteria. Note that ALL diagnoses additionally require evidence of preceding group A streptococcal infection (ASO/anti-DNase B rise, positive throat culture or RADT); 5 weighted points or more - Criteria met: meets Jones criteria (2 major, OR 1 major + 2 minor) - with evidence of preceding GAS infection this supports acute rheumatic fever. Start penicillin, anti-inflammatory therapy and echocardiography; plan secondary prophylaxis; 6 weighted points or more - Criteria met - multiple major: two or more major manifestations - acute rheumatic fever highly likely with evidence of preceding GAS infection. Echocardiography is mandatory; arrange cardiology review and secondary prophylaxis.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
India is a MODERATE/HIGH-risk population, so these relaxed thresholds apply: monoarthritis and polyarthralgia count as major; monoarthralgia, fever ≥38 °C and ESR ≥30 count as minor.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.