First of all Apache has nothing to do with msaccess if you want to have a script that access a db written in perl.
The only thing you need is a perl module with which you will make your script communicate with your database.
Apache does not need to know what kind of db's you use.
The only thing that will do is to triger the perl interpreter to execute the cgi of yours.
So your question should be
'how can i make a perl script communicate with ms access and make queries with it? '