We were experiencing the same symptoms with about a dozen different PCs. Some were infected with different trojans. After cleaning the PCs, from time to time, these .qsp files would randomly appear in %windows%/temp. Scanning again would flag these files and quarantines or deletes them. Then we ran multiple scans from different products and nothing else would be found. A short while later, these .qsp files would appear again.
So our investigation led us to use procmon to capture what was going on. It turns out that it appears that Rtvscan was actually using the quarantined files (.VBN) in the quarantine folder and placing them in the %windows%/temp folder. After deleting everything in the quarantine folder (all users/application data/symantec....../quarantine), we never experienced the .qsp files anymore.
We're not sure what exactly is happening, but again it appears this way using procmon
Rtvscan.exe
ReadFile C:\Documents and Settings\All Users\Application Data\Symantec\Symantec AntiVirus Corporate Edition\7.5\Quarantine\08F80000\4CF96039.VBN
WriteFile C:\WINDOWS\Temp\4C5B0FAA.qsp