The 2015 revision of the Jones criteria for the diagnosis of acute rheumatic fever: implications for practice in low-income and middle-income countries

Abstract

The Jones criteria has longed served as the primary guideline for diagnosing acute rheumatic fever (ARF). However, since the first iteration in 1944, the global epidemiology of ARF and our knowledge regarding the variability of its presentation have changed. In 2015, the American Heart Association took on an ambitious and successful revision, which accounts for these changes. For the first time, the criteria consider the risk within a population and offer two separate diagnostic pathways that prioritise specificity among those at low risk and sensitivity among those at moderate/high risk. Echocardiography is now recommended in all patients with suspected or confirmed ARF, and subclinical carditis can fulfil a major criterion for ARF in all populations. Finally, new and specific criteria are provided for the diagnosis of ARF recurrences. These 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. It is our hope that they will also serve as a catalyst in the global community to increase advocacy, improve case detection, and invest in new research techniques that could ultimately control global ARF in our lifetimes.

Acute rheumatic fever in south-east of Turkey: clinical features and epidemiological evaluation of the patients over the last 25 years

“…Subclinical carditis can be used as a major criterion for acute rheumatic fever in all populations. 32 Genetic predisposition may be a factor for development carditis and rheumatic heart disease. 20,33 In our population, the prevalence of valvar lesions were similar to the reports from other high-risk countries.…”

Rheumatic fever and rheumatic heart disease a historical perspective

“…A 2007 meta-analysis that included 23 studies from five continents demonstrated that patients with ARF showed a weighted pooled prevalence of subclinical carditis of 16.8% and 44.7% of these patients showed worsening of valvular involvement over time. [20]…”

Оцінка Суглобового Синдрому При Гострій Ревматичній Лихоманці Відповідно До перегляду Критеріїв Джонса 2015 Року

“…У популяціях із високим ризиком, зокрема в корінного населення Австралії, асептичний моноартрит зустрічається в 16-18 % підтверджених випадків ГРЛ [17,18] [20]. Поліартралгія є дуже частою, малоспецифічною ознакою багатьох ревматологічних захворювань.…”