Analyse de scan hijackthis

Bonjour, quelqu'un pourrait il m'aider à analyser ce scan ? pas facile...
Mon problème principal etant que je n'ai plus de son et qu'il m'est impossible de faire fonctionner le pilote Realtek audio high definition ... je sai s plus quoi faire...
merci a tous ceux qui voudront bien repondre

Logfile of Trend Micro HijackThis v2.0.2
Scan saved at 23:24:18, on 20/05/2009
Platform: Windows XP SP2 (WinNT 5.01.2600)
MSIE: Internet Explorer v6.00 SP2 (6.00.2900.2180)
Boot mode: Normal

Running processes:
C:\WINDOWS\System32\smss.exe
C:\WINDOWS\system32\winlogon.exe
C:\WINDOWS\system32\services.exe
C:\WINDOWS\system32\lsass.exe
C:\WINDOWS\system32\svchost.exe
C:\WINDOWS\System32\svchost.exe
C:\Program Files\Alwil Software\Avast4\aswUpdSv.exe
C:\Program Files\Alwil Software\Avast4\ashServ.exe
C:\WINDOWS\Explorer.EXE
C:\WINDOWS\system32\RUNDLL32.EXE
C:\WINDOWS\system32\spoolsv.exe
C:\Program Files\Alwil Software\Avast4\ashDisp.exe
C:\Program Files\Java\jre1.6.0_07\bin\jusched.exe
C:\WINDOWS\SOUNDMAN.EXE
C:\WINDOWS\system32\ctfmon.exe
C:\WINDOWS\lclock.exe
C:\Program Files\OpenOffice.org 3\program\soffice.exe
C:\Program Files\OpenOffice.org 3\program\soffice.bin
C:\WINDOWS\system32\nvsvc32.exe
C:\Program Files\Alwil Software\Avast4\ashMaiSv.exe
C:\Program Files\Alwil Software\Avast4\ashWebSv.exe
C:\Program Files\Internet Explorer\iexplore.exe
C:\Program Files\Java\jre1.6.0_07\bin\jucheck.exe
C:\WINDOWS\system32\msiexec.exe
C:\WINDOWS\system\mysmas.exe
C:\Program Files\Trend Micro\HijackThis\HijackThis.exe

R1 - HKCU\Software\Microsoft\Internet Explorer\Main,Search Bar = http://www.google.fr/ie
R1 - HKCU\Software\Microsoft\Internet Explorer\Main,Search Page = http://www.google.fr
R0 - HKCU\Software\Microsoft\Internet Explorer\Main,Start Page = http://www.winlsd.org/
R0 - HKLM\Software\Microsoft\Internet Explorer\Search,SearchAssistant = http://www.google.fr/ie
R1 - HKCU\Software\Microsoft\Internet Explorer\SearchURL,(Default) = http://www.google.fr/keyword/%s
R1 - HKCU\Software\Microsoft\Internet Connection Wizard,ShellNext = http://www.winlsd.org/
R0 - HKCU\Software\Microsoft\Internet Explorer\Toolbar,LinksFolderName =
O2 - BHO: AcroIEHelperStub - {18DF081C-E8AD-4283-A596-FA578C2EBDC3} - C:\Program Files\Fichiers communs\Adobe\Acrobat\ActiveX\AcroIEHelperShim.dll
O2 - BHO: SSVHelper Class - {761497BB-D6F0-462C-B6EB-D4DAF1D92D43} - C:\Program Files\Java\jre1.6.0_07\bin\ssv.dll
O4 - HKLM\..\Run: [NvCplDaemon] RUNDLL32.EXE C:\WINDOWS\system32\NvCpl.dll,NvStartup
O4 - HKLM\..\Run: [NvMediaCenter] RUNDLL32.EXE C:\WINDOWS\system32\NvMcTray.dll,NvTaskbarInit
O4 - HKLM\..\Run: [avast!] "C:\Program Files\Alwil Software\Avast4\ashDisp.exe"
O4 - HKLM\..\Run: [SkyTel] SkyTel.EXE
O4 - HKLM\..\Run: [High Definition Audio Property Page Shortcut] HDAShCut.exe
O4 - HKLM\..\Run: [SunJavaUpdateSched] "C:\Program Files\Java\jre1.6.0_07\bin\jusched.exe"
O4 - HKLM\..\Run: [Adobe Reader Speed Launcher] "C:\Program Files\Adobe\Reader 9.0\Reader\Reader_sl.exe"
O4 - HKLM\..\Run: [RTHDCPL] RTHDCPL.EXE
O4 - HKLM\..\Run: [SoundMan] SOUNDMAN.EXE
O4 - HKLM\..\Run: [Alcmtr] ALCMTR.EXE
O4 - HKLM\..\Run: [GEST] m’|ÄÂ
O4 - HKCU\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\ctfmon.exe
O4 - HKCU\..\Run: [LClock] lclock.exe
O4 - HKUS\S-1-5-19\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'SERVICE LOCAL')
O4 - HKUS\S-1-5-19\..\RunOnce: [LSD_III] %systemroot%\LSD\end.cmd (User 'SERVICE LOCAL')
O4 - HKUS\S-1-5-20\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'SERVICE RÉSEAU')
O4 - HKUS\S-1-5-20\..\RunOnce: [LSD_III] %systemroot%\LSD\end.cmd (User 'SERVICE RÉSEAU')
O4 - HKUS\S-1-5-18\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'SYSTEM')
O4 - HKUS\S-1-5-18\..\RunOnce: [LSD_III] %systemroot%\LSD\end.cmd (User 'SYSTEM')
O4 - HKUS\.DEFAULT\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'Default user')
O4 - HKUS\.DEFAULT\..\RunOnce: [LSD_III] %systemroot%\LSD\end.cmd (User 'Default user')
O4 - Startup: OpenOffice.org 3.0.lnk = C:\Program Files\OpenOffice.org 3\program\quickstart.exe
O9 - Extra button: (no name) - {08B0E5C0-4FCB-11CF-AAA5-00401C608501} - C:\Program Files\Java\jre1.6.0_07\bin\ssv.dll
O9 - Extra 'Tools' menuitem: Console Java (Sun) - {08B0E5C0-4FCB-11CF-AAA5-00401C608501} - C:\Program Files\Java\jre1.6.0_07\bin\ssv.dll
O23 - Service: avast! iAVS4 Control Service (aswUpdSv) - ALWIL Software - C:\Program Files\Alwil Software\Avast4\aswUpdSv.exe
O23 - Service: avast! Antivirus - ALWIL Software - C:\Program Files\Alwil Software\Avast4\ashServ.exe
O23 - Service: avast! Mail Scanner - ALWIL Software - C:\Program Files\Alwil Software\Avast4\ashMaiSv.exe
O23 - Service: avast! Web Scanner - ALWIL Software - C:\Program Files\Alwil Software\Avast4\ashWebSv.exe
O23 - Service: InstallDriver Table Manager (IDriverT) - Macrovision Corporation - C:\Program Files\Fichiers communs\InstallShield\Driver\11\Intel 32\IDriverT.exe
O23 - Service: MYS Mutex Algorithm Service - Unknown owner - C:\WINDOWS\system\mysmas.exe
O23 - Service: NVIDIA Display Driver Service (NVSvc) - NVIDIA Corporation - C:\WINDOWS\system32\nvsvc32.exe