SELECT count(*) FROM routes AS T1 JOIN airports AS T2 ON T1.dst_apid  =  T2.apid JOIN airlines AS T3 ON T1.alid  =  T3.alid WHERE T2.country  =  'Italy' AND T3.name  =  'American Airlines'
Return the number of routes with destination airport in Italy operated by the airline with name 'American Airlines'.
[Schema (values) (types)]: | flight_4 |  routes : rid (text) , dst_apid (number) , dst_ap (number) , src_apid (text) , src_ap (number) , alid (text) , airline (number) , codeshare (text) | airports : apid (text) , name (number) , city (number) , country (text) , x (number) , y (text) , elevation (number) , iata (text) , icao (text) | airlines : alid (text) , name (number) , iata (number) , icao (text) , callsign (number) , country (text) , active (number);