I had good success using DBD::ADO with Access databases:

my $ado_dsn='Provider=Microsoft.Jet.OLEDB.4.0;Data Source=x:\Path\To\D
+atabase.mdb';
my $ado_usr='my username';
my $ado_pwd='my pasword';
my $ado_dbh = DBI->connect("dbi:ADO:$ado_dsn", $ado_usr, $ado_pwd ) or
+ die $DBI::errstr;
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Note: it will work only on Win32-machines!