Оформил: DeeCo
Автор: http://www.swissdelphicenter.ch

// Using ADOX: 

uses
   ComObj;

 // You can with ADOX (Microsoft ADO Extensions for DDL and Security), 

function CreateAccessDatabase(FileName: string): string;
 var
    cat: OLEVariant;
 begin
   Result := '';
   try
     cat := CreateOleObject('ADOX.Catalog');
     cat.Create('Provider=Microsoft.Jet.OLEDB.4.0;Data Source=' + FileName + ';');
     cat := NULL;
   except
     on e: Exception do Result := e.message;
   end;
 end;


 procedure TForm1.Button1Click(Sender: TObject);
 begin
   CreateAccessDatabase('c:\Testdb.mdb');
 end;