A little extra insurance, especially when it's free, can't hurt IMHO. I just downloaded 9 Windows XP updates from the Tuesday Microsoft update. One of these was MSRT (the Microsoft Malicious Software Removal Tool). If you do nothing but install it, a quick scan will be run on your behalf and this will be done stealthily, so you'll not be impacted, and that's good.
But, I recommend you take the bull by the horns and run a full scan under your own control. It'll run a long time, but what the heck, once a month won't hurt. And although it runs like the wind, it won't impact your system performance much.
To run it, click on START, then RUN, then key in MRT (note: no 'S') and click on OK. When the MSRT program starts, select FULL SCAN and let it run. If any problems are found, you will see the results.
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