**3. Results**

From our search, 12 articles were included in the review, of which four (33.3%) studies were from North America [33–36] and eight (66.7%) [37–44] from Europe. About half of the studies (41.7%; 5/12) reported on teachers and school staff exclusively from primary school settings [34,37–39,42], 4/12 (33.3%) reported on mixed grade levels, the majority of which were primary schools [35,36,43,44], and 3/12 (25.0%) were presumed to represent primary schools [33,40,41] due to the language used, commonly differentiated in similar literature (e.g., "teachers" vs. "early childhood educators") (Table 1). Most included studies did not have, or did not specify, any school food program participation (*n* = 10), or school nurse availability (*n* = 6). Two studies (16.7%) reported that its schools had school food programs [34,36], while four (33.3%) studies reported that some participating schools had a part-time nurse [34–36,39], and two (16.7%) studies reported that the Italian public school system had no school nurses available [43,44].

**Table 1.** Summary of articles' country of origin, research design, methods, and population, presented in alphabetical order by first author's last name.



**Table 1.** *Cont.*

Abbreviations: *EAI* = epinephrine auto-injector; *K* = Kindergarten; *NS* = not specified; *SPSMFAA* = School Personnel's Self-efficacy in Managing Food Allergy and Anaphylaxis; *UK* = United Kingdom; *USA* = United States of America; *y =* years. \* High school data were excluded in the paper per author reports.

Overall, food allergy experience, training and education, baseline knowledge, and policies/ guidelines supporting food allergy management in schools were inconsistent between teachers and school staff, among and across jurisdictions.
