I have a little bit of money on USA qualifying for the second round, so they really need to win this, plus it would be nice to have a few underdogs make it past the group stages. I'm doubtful they will defeat Italy though.
I was just looking at the group tables and I think USA might have a hope of staying alive if they draw today. A draw today will give USA one point and Italy will have 4. If USA then beat Ghana and Italy lose to the Czech Republic, Italy and USA will be tied for second place with 4 points and it will come down to goal difference.
EDIT: Another one bites the dust. Portugal just beat Iran 2-0.