Conflicker has been beating us down all week. We think a server or workstation is clean, but it comes back.
Windows Updates are up-to-date and everyone runs Trend or NOD32.
It would be great to use an effective tool to help us clean the computers. We are still experiencing workstation and/or server services shutting down, random tasks are added to the Scheduler, failing Automatic Update service, and DNS poisoning (I think that's what it's called when you suddenly can't get to microsoft.com and its related update sites).
So far we have used Windows Malicious Software Removal Tool (6/2009), and BitDefender Removal Tool. Neither seems terribly effective.