Infection indéterminée

Bonjour,
Le serveur de ma clinique est victime d'une méchante attaque, mais de quoi??? mystère.
Je n'arrive pas à installer ad aware (acces refusé par administrateur), j'ai passé spybot et fait un scan hijack
Pourriez vous m'aider svp, je colle mon rapport hijack, en remerciant quiconque pourra nous aider.
Logfile of Trend Micro HijackThis v2.0.2
Scan saved at 15:32:09, on 07/03/2008
Platform: Windows XP SP2 (WinNT 5.01.2600)
MSIE: Internet Explorer v7.00 (7.00.6000.16608)
Boot mode: Safe mode with network support

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:\WINDOWS\Explorer.EXE
C:\WINDOWS\system32\ctfmon.exe
C:\Program Files\Trend Micro\HijackThis\HijackThis.exe

R0 - HKCU\Software\Microsoft\Internet Explorer\Toolbar,LinksFolderName = Liens
O2 - BHO: AcroIEHlprObj Class - {06849E9F-C8D7-4D59-B87D-784B7D6BE0B3} - C:\Program Files\Adobe\Acrobat 7.0\ActiveX\AcroIEHelper.dll
O2 - BHO: eBay Toolbar Helper - {22D8E815-4A5E-4DFB-845E-AAB64207F5BD} - C:\Program Files\eBay\eBay Toolbar2\eBayTB.dll
O2 - BHO: Spybot-S&D IE Protection - {53707962-6F74-2D53-2644-206D7942484F} - C:\PROGRA~1\SPYBOT~1\SDHelper.dll
O2 - BHO: (no name) - {7E853D72-626A-48EC-A868-BA8D5E23E045} - (no file)
O2 - BHO: Programme d'aide de l'Assistant de connexion Windows Live - {9030D464-4C02-4ABF-8ECC-5164760863C6} - C:\Program Files\Fichiers communs\Microsoft Shared\Windows Live\WindowsLiveLogin.dll
O2 - BHO: Google Toolbar Helper - {AA58ED58-01DD-4d91-8333-CF10577473F7} - c:\program files\google\googletoolbar4.dll
O2 - BHO: Google Toolbar Notifier BHO - {AF69DE43-7D58-4638-B6FA-CE66B5AD205D} - C:\Program Files\Google\GoogleToolbarNotifier\2.0.301.7164\swg.dll
O2 - BHO: NAV Helper - {BDF3E430-B101-42AD-A544-FADC6B084872} - c:\Program Files\Norton Internet Security\Norton AntiVirus\NavShExt.dll
O2 - BHO: EpsonToolBandKicker Class - {E99421FB-68DD-40F0-B4AC-B7027CAE2F1A} - C:\Program Files\EPSON\EPSON Web-To-Page\EPSON Web-To-Page.dll
O3 - Toolbar: Vue HP - {B2847E28-5D7D-4DEB-8B67-05D28BCF79F5} - c:\Program Files\HP\Digital Imaging\bin\HPDTLK02.dll
O3 - Toolbar: Norton AntiVirus - {42CDD1BF-3FFB-4238-8AD1-7859DF00B1D6} - c:\Program Files\Norton Internet Security\Norton AntiVirus\NavShExt.dll
O3 - Toolbar: EPSON Web-To-Page - {EE5D279F-081B-4404-994D-C6B60AAEBA6D} - C:\Program Files\EPSON\EPSON Web-To-Page\EPSON Web-To-Page.dll
O3 - Toolbar: eBay Toolbar - {92085AD4-F48A-450D-BD93-B28CC7DF67CE} - C:\Program Files\eBay\eBay Toolbar2\eBayTB.dll
O3 - Toolbar: &Google - {2318C2B1-4965-11d4-9B18-009027A5CD4F} - c:\program files\google\googletoolbar4.dll
O4 - HKLM\..\Run: [SunJavaUpdateSched] C:\Program Files\Java\j2re1.4.2_03\bin\jusched.exe
O4 - HKLM\..\Run: [hpsysdrv] c:\windows\system\hpsysdrv.exe
O4 - HKLM\..\Run: [Raccourci vers la page des propriétés de High Definition Audio] HDAudPropShortcut.exe
O4 - HKLM\..\Run: [NvCplDaemon] RUNDLL32.EXE C:\WINDOWS\system32\NvCpl.dll,NvStartup
O4 - HKLM\..\Run: [nwiz] nwiz.exe /installquiet /keeploaded /nodetect
O4 - HKLM\..\Run: [AGRSMMSG] AGRSMMSG.exe
O4 - HKLM\..\Run: [HPHUPD06] c:\Program Files\HP\{AAC4FC36-8F89-4587-8DD3-EBC57C83374D}\hphupd06.exe
O4 - HKLM\..\Run: [HPHmon06] C:\WINDOWS\system32\hphmon06.exe
O4 - HKLM\..\Run: [KBD] C:\HP\KBD\KBD.EXE
O4 - HKLM\..\Run: [iTunesHelper] C:\Program Files\iTunes\iTunesHelper.exe
O4 - HKLM\..\Run: [Recguard] C:\WINDOWS\SMINST\RECGUARD.EXE
O4 - HKLM\..\Run: [ccApp] "c:\Program Files\Fichiers communs\Symantec Shared\ccApp.exe"
O4 - HKLM\..\Run: [URLLSTCK.exe] c:\Program Files\Norton Internet Security\UrlLstCk.exe
O4 - HKLM\..\Run: [PS2] C:\WINDOWS\system32\ps2.exe
O4 - HKLM\..\Run: [SoundMan] SOUNDMAN.EXE
O4 - HKLM\..\Run: [AlcWzrd] ALCWZRD.EXE
O4 - HKLM\..\Run: [Alcmtr] ALCMTR.EXE
O4 - HKLM\..\Run: [LSBWatcher] c:\hp\drivers\hplsbwatcher\lsburnwatcher.exe
O4 - HKLM\..\Run: [BJCFD] C:\Program Files\BroadJump\Client Foundation\CFD.exe
O4 - HKLM\..\Run: [Workflow] E:\install\Workflow.exe
O4 - HKLM\..\Run: [QuickTime Task] "C:\Program Files\QuickTime\qttask.exe" -atboottime
O4 - HKLM\..\Run: [Logitech Hardware Abstraction Layer] KHALMNPR.EXE
O4 - HKLM\..\Run: [mmtask] c:\Program Files\MusicMatch\MusicMatch Jukebox\mmtask.exe
O4 - HKLM\..\Run: [MMTray] C:\Program Files\MUSICMATCH\MUSICMATCH Jukebox\mm_tray.exe
O4 - HKLM\..\Run: [eBayToolbar] C:\Program Files\eBay\eBay Toolbar2\eBayTBDaemon.exe
O4 - HKLM\..\Run: [CONNECTScheduler] "C:\Program Files\Sony\CONNECTAutoUpdate\CONNECTScheduler.exe" /RUN_SCHEDULER
O4 - HKLM\..\Run: [Google Desktop Search] "C:\Program Files\Google\Google Desktop Search\GoogleDesktop.exe" /startup
O4 - HKLM\..\Run: [C0100Mon.exe] C:\WINDOWS\C0100Mon.exe
O4 - HKLM\..\Run: [avast!] C:\PROGRA~1\ALWILS~1\Avast4\ashDisp.exe
O4 - HKCU\..\Run: [ctfmon.exe] C:\WINDOWS\system32\ctfmon.exe
O4 - HKCU\..\RunOnce: [SpybotDeletingB3196] command /c del "C:\Program Files\SpywareBot\DataBaseNew.ref"
O4 - HKCU\..\RunOnce: [SpybotDeletingD8871] cmd /c del "C:\Program Files\SpywareBot\DataBaseNew.ref"
O4 - HKCU\..\RunOnce: [SpybotDeletingB4080] command /c del "C:\Program Files\MySearch\bar\1.bin\MYSEARCHPLUGINPROXY.CLASS"
O4 - HKCU\..\RunOnce: [SpybotDeletingD4076] cmd /c del "C:\Program Files\MySearch\bar\1.bin\MYSEARCHPLUGINPROXY.CLASS"
O4 - HKCU\..\RunOnce: [SpybotDeletingB6681] command /c del "C:\Program Files\MySearch\bar\1.bin\NPMYSRCH.DLL"
O4 - HKCU\..\RunOnce: [SpybotDeletingD2946] cmd /c del "C:\Program Files\MySearch\bar\1.bin\NPMYSRCH.DLL"
O4 - HKCU\..\RunOnce: [SpybotDeletingB4836] command /c del "C:\Program Files\MySearch\bar\1.bin\S42NS.EXE"
O4 - HKCU\..\RunOnce: [SpybotDeletingD1176] cmd /c del "C:\Program Files\MySearch\bar\1.bin\S42NS.EXE"
O4 - HKCU\..\RunOnce: [SpybotDeletingB366] command /c del "C:\Program Files\MySearch\bar\1.bin\S4BAR.DLL"
O4 - HKCU\..\RunOnce: [SpybotDeletingD4141] cmd /c del "C:\Program Files\MySearch\bar\1.bin\S4BAR.DLL"
O4 - HKCU\..\RunOnce: [SpybotDeletingB7747] command /c del "C:\Program Files\MySearch\bar\1.bin\S4WBTEMP.DLL"
O4 - HKCU\..\RunOnce: [SpybotDeletingD3215] cmd /c del "C:\Program Files\MySearch\bar\1.bin\S4WBTEMP.DLL"
O4 - HKCU\..\RunOnce: [SpybotDeletingB127] command /c del "C:\Program Files\MyWebSearch\SrchAstt\1.bin\MWSSRCAS.DLL"
O4 - HKCU\..\RunOnce: [SpybotDeletingD3926] cmd /c del "C:\Program Files\MyWebSearch\SrchAstt\1.bin\MWSSRCAS.DLL"
O4 - HKCU\..\RunOnce: [SpybotDeletingB8296] command /c del "C:\Program Files\MyWebSearch\bar\1.bin\MWSBAR.DLL"
O4 - HKCU\..\RunOnce: [SpybotDeletingD4526] cmd /c del "C:\Program Files\MyWebSearch\bar\1.bin\MWSBAR.DLL"
O4 - HKUS\S-1-5-19\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'SERVICE LOCAL')
O4 - HKUS\S-1-5-20\..\Run: [CTFMON.EXE] C:\WINDOWS\system32\CTFMON.EXE (User 'SERVICE RÉSEAU')
O4 - S-1-5-18 Startup: AutoTBar.exe (User 'SYSTEM')
O4 - .DEFAULT Startup: AutoTBar.exe (User 'Default user')
O4 - .DEFAULT User Startup: AutoTBar.exe (User 'Default user')
O4 - Startup: AutoTBar.exe
O4 - Global Startup: CONNECTAUTrayApp.lnk = C:\Program Files\Sony\CONNECTAutoUpdate\CONNECTAUTrayApp.exe
O4 - Global Startup: HOTSYNCSHORTCUTNAME.lnk = C:\Program Files\Palm\Hotsync.exe
O4 - Global Startup: HP Digital Imaging Monitor.lnk = C:\Program Files\HP\Digital Imaging\bin\hpqtra08.exe
O4 - Global Startup: Lancement rapide d'Adobe Reader.lnk = C:\Program Files\Adobe\Acrobat 7.0\Reader\reader_sl.exe
O4 - Global Startup: Logitech Desktop Messenger.lnk = C:\Program Files\Logitech\Desktop Messenger\8876480\Program\LogitechDesktopMessenger.exe
O4 - Global Startup: Logitech SetPoint.lnk = C:\Program Files\Logitech\SetPoint\KEM.exe
O9 - Extra button: (no name) - {08B0E5C0-4FCB-11CF-AAA5-00401C608501} - C:\WINDOWS\system32\msjava.dll
O9 - Extra 'Tools' menuitem: Console Java (Sun) - {08B0E5C0-4FCB-11CF-AAA5-00401C608501} - C:\WINDOWS\system32\msjava.dll
O9 - Extra button: (no name) - {85d1f590-48f4-11d9-9669-0800200c9a66} - C:\WINDOWS\bdoscandel.exe
O9 - Extra 'Tools' menuitem: Uninstall BitDefender Online Scanner v8 - {85d1f590-48f4-11d9-9669-0800200c9a66} - C:\WINDOWS\bdoscandel.exe
O9 - Extra button: (no name) - {DFB852A3-47F8-48C4-A200-58CAB36FD2A2} - C:\PROGRA~1\SPYBOT~1\SDHelper.dll
O9 - Extra 'Tools' menuitem: Spybot - Search & Destroy Configuration - {DFB852A3-47F8-48C4-A200-58CAB36FD2A2} - C:\PROGRA~1\SPYBOT~1\SDHelper.dll
O9 - Extra button: (no name) - {e2e2dd38-d088-4134-82b7-f2ba38496583} - C:\WINDOWS\Network Diagnostic\xpnetdiag.exe
O9 - Extra 'Tools' menuitem: @xpsp3res.dll,-20001 - {e2e2dd38-d088-4134-82b7-f2ba38496583} - C:\WINDOWS\Network Diagnostic\xpnetdiag.exe
O9 - Extra button: Messenger - {FB5F1910-F110-11d2-BB9E-00C04F795683} - C:\Program Files\Messenger\msmsgs.exe
O9 - Extra 'Tools' menuitem: Windows Messenger - {FB5F1910-F110-11d2-BB9E-00C04F795683} - C:\Program Files\Messenger\msmsgs.exe
O16 - DPF: {215B8138-A3CF-44C5-803F-8226143CFC0A} (Trend Micro ActiveX Scan Agent 6.6) - http://housecall65.trendmicro.com/housecall/applet/html/native/x86/win32/activex/hcImpl.cab
O16 - DPF: {2472DCCC-68CE-49DA-AA81-E7E6D83C1DFA} (PackageHTML) - http://www.easypackhtml.com/PackageHtmlCab.CAB
O16 - DPF: {5D86DDB5-BDF9-441B-9E9E-D4730F4EE499} (BDSCANONLINE Control) - http://www.bitdefender.fr/scan8/oscan8.cab
O16 - DPF: {74D05D43-3236-11D4-BDCD-00C04F9A3B61} (HouseCall Control) - https://www.trendmicro.com/en_us/forHome/products/housecall.html
O16 - DPF: {80DD2229-B8E4-4C77-B72F-F22972D723EA} - http://www.inoculer.com/antivirus/Msie/bitdefender.cab
O16 - DPF: {F6ACF75C-C32C-447B-9BEF-46B766368D29} (Creative Software AutoUpdate Support Package) - http://www.creative.com/su2/CTL_V02002/ocx/15033/CTPID.cab
O17 - HKLM\System\CCS\Services\Tcpip\..\{AE1E40EA-6257-4085-B2AE-0DD824DF66F4}: NameServer = 194.117.200.10,194.117.200.15
O18 - Protocol: bwfile-8876480 - {9462A756-7B47-47BC-8C80-C34B9B80B32B} - C:\Program Files\Logitech\Desktop Messenger\8876480\Program\GAPlugProtocol-8876480.dll
O20 - AppInit_DLLs: C:\PROGRA~1\Google\GOOGLE~2\GOEC62~1.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: Canon Camera Access Library 8 (CCALib8) - Canon Inc. - C:\Program Files\Canon\CAL\CALMAIN.exe
O23 - Service: Symantec Event Manager (ccEvtMgr) - Symantec Corporation - c:\Program Files\Fichiers communs\Symantec Shared\ccEvtMgr.exe
O23 - Service: Symantec Network Proxy (ccProxy) - Symantec Corporation - c:\Program Files\Fichiers communs\Symantec Shared\ccProxy.exe
O23 - Service: Symantec Password Validation (ccPwdSvc) - Symantec Corporation - c:\Program Files\Fichiers communs\Symantec Shared\ccPwdSvc.exe
O23 - Service: Symantec Settings Manager (ccSetMgr) - Symantec Corporation - c:\Program Files\Fichiers communs\Symantec Shared\ccSetMgr.exe
O23 - Service: Crypkey License - Unknown owner - C:\WINDOWS\SYSTEM32\crypserv.exe
O23 - Service: GoogleDesktopManager - Google - C:\Program Files\Google\Google Desktop Search\GoogleDesktop.exe
O23 - Service: Google Updater Service (gusvc) - Google - C:\Program Files\Google\Common\Google Updater\GoogleUpdaterService.exe
O23 - Service: InstallDriver Table Manager (IDriverT) - Macrovision Corporation - C:\Program Files\Fichiers communs\InstallShield\Driver\11\Intel 32\IDriverT.exe
O23 - Service: iPodService - Apple Computer, Inc. - C:\Program Files\iPod\bin\iPodService.exe
O23 - Service: ISSvc (ISSVC) - Symantec Corporation - c:\Program Files\Norton Internet Security\ISSVC.exe
O23 - Service: LiveUpdate - Symantec Corporation - C:\PROGRA~1\Symantec\LIVEUP~1\LUCOMS~1.EXE
O23 - Service: MSCSPTISRV - Sony Corporation - C:\Program Files\Fichiers communs\Sony Shared\AVLib\MSCSPTISRV.exe
O23 - Service: Service Norton AntiVirus Auto-Protect (navapsvc) - Symantec Corporation - c:\Program Files\Norton Internet Security\Norton AntiVirus\navapsvc.exe
O23 - Service: NVIDIA Display Driver Service (NVSvc) - NVIDIA Corporation - C:\WINDOWS\system32\nvsvc32.exe
O23 - Service: PACSPTISVR - Sony Corporation - C:\Program Files\Fichiers communs\Sony Shared\AVLib\PACSPTISVR.exe
O23 - Service: Planificateur LiveUpdate automatique - Symantec Corporation - C:\Program Files\Symantec\LiveUpdate\ALUSchedulerSvc.exe
O23 - Service: SAVScan - Symantec Corporation - c:\Program Files\Norton Internet Security\Norton AntiVirus\SAVScan.exe
O23 - Service: Symantec Network Drivers Service (SNDSrvc) - Symantec Corporation - c:\Program Files\Fichiers communs\Symantec Shared\SNDSrvc.exe
O23 - Service: Sony SCSI Helper Service - Sony Corporation - C:\Program Files\Fichiers communs\Sony Shared\Fsk\SonySCSIHelperService.exe
O23 - Service: Symantec SPBBCSvc (SPBBCSvc) - Symantec Corporation - c:\Program Files\Fichiers communs\Symantec Shared\SPBBC\SPBBCSvc.exe
O23 - Service: Sony SPTI Service (SPTISRV) - Sony Corporation - C:\Program Files\Fichiers communs\Sony Shared\AVLib\SPTISRV.exe
O23 - Service: SymWMI Service (SymWSC) - Symantec Corporation - c:\Program Files\Fichiers communs\Symantec Shared\Security Center\SymWSC.exe