ZeroAccess trojan. Not quite gone. Rearranging dekstop icons after reboot/refresh

My computer was infected with the ZeroAccess trojan.  I've hunted around the internet for ways to get this completely gone.  Norton no longer shows it in a scan, but apparently it is still having an affect.  Desktop icons rearrange themselves after a reboot.  Various other third-party products have found ZeroAccess threats but haven't been able to clean it off.